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Individual

JOSEPH SLAVETSKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
RIVERSIDE ASSOCIATES, 40 FRONT ST., BINGHAMTON, NY 13905
(607) 722-7264
(607) 722-7869
Mailing address
RIVERSIDE ASSOCIATES, 40 FRONT ST., BINGHAMTON, NY 13905
(607) 722-7264
(607) 722-7869

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
137379
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
322039
NY

Other

Enumeration date
10/04/2005
Last updated
07/08/2007
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