Individual
MARY JEANINE SLOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
205 7TH ST, LAUREL, NY 11948-1628
(631) 298-4272
(631) 298-4272
Mailing address
205 7TH ST, LAUREL, NY 11948-1628
(631) 298-4272
(631) 298-4272
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
010865-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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