Provider Demographics
NPI:1427450329
Name:SLABOSKY, ANN LOUISE (RN, NP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:SLABOSKY
Suffix:
Gender:
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 LAWRENCE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5240
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:718-355-8985
Practice Address - Street 1:151 LAWRENCE ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5240
Practice Address - Country:US
Practice Address - Phone:212-553-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY406692363LP0808X
NY22689869163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse