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STACY MARIE SLAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
26112 E WILLISTON AVE, FLORAL PARK, NY 11001-1145
(718) 347-8888
(718) 347-8889
Mailing address
26112 E WILLISTON AVE, FLORAL PARK, NY 11001-1145
(718) 347-8888
(718) 347-8889

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249321
NY
207RR0500X
Rheumatology Physician
Primary
249321
NY

Other

Enumeration date
12/14/2009
Last updated
01/26/2012
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