Provider Demographics
NPI:1396934246
Name:SLOCHOWSKY, ANN SABRINA (MS RD CDN CDE)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:SABRINA
Last Name:SLOCHOWSKY
Suffix:
Gender:F
Credentials:MS RD CDN CDE
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Mailing Address - Street 1:148 DOUGHTY BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-2080
Mailing Address - Country:US
Mailing Address - Phone:516-239-4708
Mailing Address - Fax:516-239-3191
Practice Address - Street 1:148 DOUGHTY BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-2080
Practice Address - Country:US
Practice Address - Phone:516-239-4708
Practice Address - Fax:516-239-3191
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY001566-1133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3676424OtherOXFORD
NY2759786OtherUNITED HEALTHCARE