Individual
ALLISON TAITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 BEACH 80TH ST, APT 2D, ROCKAWAY BEACH, NY 11693-2002
(718) 636-0461
Mailing address
221 BEACH 80TH ST, APT. 2 D, ROCKAWAY BEACH, NY 11693-2002
(718) 636-0461
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
EARLY INTERVENTION PROVIDER
NY
Enumeration date
10/16/2015
Last updated
10/16/2015
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