Individual
MRS. STACY MIRIAM SLOMOVICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15813 72ND AVE, FRESH MEADOWS, NY 11365-4100
(718) 380-7600
Mailing address
20915 18TH AVE APT 6K, BAYSIDE, NY 11360-1406
(917) 584-2509
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
019476
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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