Individual
MEAGAN ELYSE SLOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
887 KELLUM ST, LINDENHURST, NY 11757-1508
(631) 884-3000
(631) 884-1959
Mailing address
19 ALPINE ST, PORT JEFFERSON STATION, NY 11776-3329
(631) 828-6618
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015416-1
NY
Other
Enumeration date
08/27/2008
Last updated
11/13/2008
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