Individual provider · Type 1 NPI
Bethany J. Slater, MD, MBA
Pediatric Surgery Physician · New York, NY
NPI number
1669668869
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6504
Mailing address
188 E 70th St Apt 8C
New York, NY 10021-5168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 036142224 (IL) |
| Pediatric Surgery Physician Primary | 2086S0120X | 338344 (NY) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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About NPI 1669668869
Bethany J. Slater, MD, MBA's National Provider Identifier is 1669668869, issued on Sep 20, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in New York, NY. The record was last updated on Aug 16, 2025.