Provider Demographics
NPI:1134693740
Name:ILANA SLAFF MEDICAL PLLC
Entity Type:Organization
Organization Name:ILANA SLAFF MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ILANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SLAFF-GALATAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-613-2387
Mailing Address - Street 1:7929 213TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING & PSYCHOTHERAPY THROGGS NECK
Practice Address - Street 2:3612 EAST TREMONT AVENUE, LOWER LEVEL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1046
Practice Address - Country:US
Practice Address - Phone:718-792-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health