Individual
CAROLYN JEAN SLATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
391 MYRTLE AVENUE, 2ND FLR, MC-74, ALBANY, NY 12208-3479
(518) 262-4942
(518) 262-2675
Mailing address
391 MYRTLE AVENUE, 2ND FLOOR, MC-74, ALBANY, NY 12208-3479
(518) 262-4942
(518) 262-2675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
214560-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01991102
—
NY
Enumeration date
07/15/2005
Last updated
02/04/2016
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