Provider Demographics
NPI:1124081906
Name:SLOOTSKY, GALINA M (MD)
Entity type:Individual
Prefix:
First Name:GALINA
Middle Name:M
Last Name:SLOOTSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2462 65TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204
Mailing Address - Country:US
Mailing Address - Phone:718-376-6600
Mailing Address - Fax:718-376-3447
Practice Address - Street 1:2462 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4150
Practice Address - Country:US
Practice Address - Phone:718-376-6600
Practice Address - Fax:718-376-3447
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2145151208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics