Healthcare Provider Details

I. General information

NPI: 1245159656
Provider Name (Legal Business Name): KAROLINA SLAVINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11247 QUEENS BLVD STE 104
FOREST HILLS NY
11375-7418
US

IV. Provider business mailing address

11247 QUEENS BLVD STE 104
FOREST HILLS NY
11375-7418
US

V. Phone/Fax

Practice location:
  • Phone: 347-391-4205
  • Fax:
Mailing address:
  • Phone: 347-391-4205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number132115
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: