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Contact Information

JAY P SLOTKIN, MD
50 ACKERLY POND LN
SOUTHOLD, NY11971-3005
 Phone: 631-765-1414
 Fax: 631-765-1428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAY P SLOTKIN · (Male)

NPI # 1780650226
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2006
Last updated 10/29/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 145688
  • NY License # 1456881
  • NY Medicaid 00658966
  • NY Other 267AM1 EMPIRE BLUE SHIELD
  • NY Other 9199852 GHI
  • NY Other P3555349 OXFORD
  • NY Other 10210 VYTRA
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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