Individual
MS. DEBRA SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
821 BAY 25TH ST, FAR ROCKAWAY, NY 11691-1800
(718) 471-3571
(718) 471-0314
Mailing address
821 BEACH 25TH STREET, FAR ROCKAWAY, NY 11691
(718) 471-3571
(718) 471-0314
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420009-1
NY
Other
Enumeration date
05/26/2009
Last updated
11/29/2012
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