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Individual

MS. DOROTHY SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.N.P.

Contact information

Practice address
151 INTREPID LN, SYRACUSE, NY 13205-2552
(315) 469-8191
(315) 469-4482
Mailing address
405 W HIGH TER, SYRACUSE, NY 13219-2434
(315) 488-9746

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380913
NY

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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