Individual
SARA M SLATKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
568 BROADWAY STE 304&404, NEW YORK, NY 10012-3225
(516) 567-4114
Mailing address
72 PHEASANT RUN, ROSLYN, NY 11576
(516) 567-4114
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
300101
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2015
Last updated
10/10/2019
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