Individual
ANI SLAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
47 SYCAMORE ST, PATCHOGUE, NY 11772-2874
(631) 415-7641
Mailing address
47 SYCAMORE ST, PATCHOGUE, NY 11772-2874
(631) 415-7641
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
0732649
NY
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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