Individual provider · Type 1 NPI

Annelise Paige Slack, PA-C

Surgical Physician Assistant · Roslyn, NY

NPI number 1831868157 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Call (516) 562-6000 Map

Mailing address

65 Belmont Ave
West Babylon, NY 11704-6435

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1831868157

Annelise Paige Slack, PA-C's National Provider Identifier is 1831868157, issued on Sep 9, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roslyn, NY. The record was last updated on Sep 9, 2021.