National Provider Identifier

John J Slisz, PA

John J Slisz, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 308-9640.

NPI 1669939849Orchard Park, NYMedical Physician Assistant

Profile Overview

NPI
1669939849
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
February 25, 2019
Last Updated
February 17, 2024

Practice Location

  • 5959 Big Tree RD Ste 102
  • Orchard Park, NY 14127-2291

Phone: (716) 308-9640

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1669939849
Entity Type
Individual
Last Name
Slisz
First Name
John
Middle Name
J
Credential
PA
Mailing Street Address
5959 Big Tree RD Ste 102
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2291
Mailing Country
US
Mailing Phone
(716) 308-9640
Mailing Fax
(862) 212-1997
Practice Street Address
5959 Big Tree RD Ste 102
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 308-9640
Practice Fax
(862) 212-1997
Enumeration Date
February 25, 2019
Last Updated
February 17, 2024
Sex
Male
Sole Proprietor
No
Certification Date
February 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)