National Provider Identifier
Roy M Sleboda, RPA-C
Roy M Sleboda, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Mayville, NY and a listed phone number of (716) 753-7107.
Profile Overview
- NPI
- 1972572691
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 15, 2006
- Last Updated
- February 29, 2012
Practice Location
- 95 E Chautauqua St.
- Mayville, NY 14757-0168
Phone: (716) 753-7107
Mailing Address
- 95 E Chautauqua St
- PO Box 168
- Mayville, NY 14757-0168
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1972572691
- Entity Type
- Individual
- Last Name
- Sleboda
- First Name
- Roy
- Middle Name
- M
- Credential
- RPA-C
- Mailing Street Address
- 95 E Chautauqua St
- Mailing Address Line 2
- PO Box 168
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-0168
- Mailing Country
- US
- Mailing Phone
- (716) 753-7107
- Mailing Fax
- (716) 753-7980
- Practice Street Address
- 95 E Chautauqua St.
- Practice City
- Mayville
- Practice State
- NY
- Practice ZIP Code
- 14757-0168
- Practice Country
- US
- Practice Phone
- (716) 753-7107
- Practice Fax
- (716) 753-7980
- Enumeration Date
- March 15, 2006
- Last Updated
- February 29, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 9512028 (NY, Independent Health), 00026498502 (NY, Univera), 000570065003 (NY, Bcbswny), 01594765 (NY)