Provider Demographics
NPI:1427235217
Name:SLABYK, STEVEN ROMAN (RPH)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ROMAN
Last Name:SLABYK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3458 STONE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14105-9760
Mailing Address - Country:US
Mailing Address - Phone:716-735-3447
Mailing Address - Fax:585-589-0826
Practice Address - Street 1:13858 RT 31 W
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NE
Practice Address - Zip Code:14411
Practice Address - Country:US
Practice Address - Phone:585-589-0761
Practice Address - Fax:585-589-0826
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist