Individual
ANDREA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-1514
Mailing address
127 ROECKEL AVE, VALLEY STREAM, NY 11580-3536
(516) 205-8836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045184-01
NY
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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