Individual
MS. DONNA MARIE SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8671
(718) 630-3086
Mailing address
33 SUNNYWOOD DR, WESTFIELD, NJ 07090-4204
(908) 233-3523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002997-1
NY
Other
Enumeration date
11/18/2005
Last updated
05/27/2009
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