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Individual

JENNIFER R SLOVINSKI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4507 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6604
(315) 663-0050
(315) 663-0514
Mailing address
4682 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3582
(315) 451-0058
(315) 451-6914

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303044
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02207192
NY
Enumeration date
08/02/2005
Last updated
07/08/2007
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