Provider Demographics
NPI:1417441262
Name:SHERRY ANN VEROSTKO-SLAZAK DBA COMPASSIONATE HEALTHCARE
Entity Type:Organization
Organization Name:SHERRY ANN VEROSTKO-SLAZAK DBA COMPASSIONATE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANP
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VEROSTKO-SLAZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-458-0752
Mailing Address - Street 1:1967 WEHRLE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8452
Mailing Address - Country:US
Mailing Address - Phone:716-458-0752
Mailing Address - Fax:716-803-8568
Practice Address - Street 1:1967 WEHRLE DR STE 10
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8452
Practice Address - Country:US
Practice Address - Phone:716-458-0752
Practice Address - Fax:716-803-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302553363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty