ANNELISE PAIGE SLACK

ROSLYN, NY
NPI1831868157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
MS. ANNELISE PAIGE SLACK PA-C
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-562-6000
Mailing Address
MS. ANNELISE PAIGE SLACK PA-C
65 BELMONT AVE
WEST BABYLON, NY 11704-6435
Phone number: 631-338-8379