MEDICARE: DR. MAX L SLOTWINSKI DNP FPMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	401405	NY

General Provider Information

NPI Number	:	1508154824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAX L SLOTWINSKI DNP FPMHNP-BC

Provider Business Mailing Address
First Line	:	20 ASBURY CT
Second Line	:
City	:	BINGHAMTON
State	:	NY
Zip	:	13905-3607
Country	:	US
Telephone Number	:	845-641-9524
Fax Number	:	845-215-0447

Provider Business Practice Location Address
First Line	:	271 S BROADWAY
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-4636
Country	:	US
Telephone Number	:	845-641-2719
Fax Number	:	845-215-0447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	03/17/2026

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