Individual
VICTORIYA SLAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1199 PARK AVE, NEW YORK, NY 10128-1711
(212) 828-7473
Mailing address
1199 PARK AVE, NEW YORK, NY 10128-1711
(212) 828-7473
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
720271
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403133
NY
Other
Enumeration date
03/10/2020
Last updated
05/08/2023
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