National Provider Identifier

Mark Slattery

Mark Slattery is listed in the NPPES registry with a primary specialty of Registered Nurse in Ithaca, NY and a listed phone number of (607) 255-4486.

NPI 1871055160Ithaca, NYRegistered Nurse

Profile Overview

NPI
1871055160
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 04, 2019
Last Updated
April 04, 2019

Practice Location

  • 110 Ho Plz
  • Cornell Health
  • Ithaca, NY 14853

Phone: (607) 255-4486

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1871055160
Entity Type
Individual
Last Name
Slattery
First Name
Mark
Mailing Street Address
110 Ho Plz
Mailing Address Line 2
Cornell Health
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853
Mailing Country
US
Mailing Phone
(607) 255-4486
Practice Street Address
110 Ho Plz
Practice Address Line 2
Cornell Health
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853
Practice Country
US
Practice Phone
(607) 255-4486
Enumeration Date
April 04, 2019
Last Updated
April 04, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)