Individual
CARMALITA ANN TAYLOR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP PNP
Contact information
Practice address
4626 WHITE PLAINS RD, BRONX, NY 10470-1610
(718) 547-4071
(718) 547-4099
Mailing address
3300 PALMER AVE, BRONX, NY 10475-1500
(718) 547-4071
(718) 547-4099
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
38 382097
NY
Other
Enumeration date
08/04/2011
Last updated
01/29/2014
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