Individual
VICTORIA L SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 MOONEY POND RD, SELDEN, NY 11784-3416
(516) 658-3754
Mailing address
12 ORBIT DR, STONY BROOK, NY 11790-3031
(631) 346-1319
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
797169
NY
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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