Healthcare Provider Details

I. General information

NPI: 1417441262
Provider Name (Legal Business Name): SHERRY ANN VEROSTKO-SLAZAK DBA COMPASSIONATE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1967 WEHRLE DR STE 10
WILLIAMSVILLE NY
14221-8452
US

IV. Provider business mailing address

1967 WEHRLE DR STE 10
WILLIAMSVILLE NY
14221-8452
US

V. Phone/Fax

Practice location:
  • Phone: 716-458-0752
  • Fax: 716-803-8568
Mailing address:
  • Phone: 716-458-0752
  • Fax: 716-803-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number302553
License Number StateNY

VIII. Authorized Official

Name: SHERRY ANN VEROSTKO-SLAZAK
Title or Position: ANP
Credential:
Phone: 716-458-0752