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Individual
TAYLOR MALTA
Active
Individual
TAYLOR MALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
310262
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310262
NY
Other
Enumeration date
07/02/2021
Last updated
07/17/2023
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