Individual
CAROLYN NOVELLA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2055 E 57TH ST, BROOKLYN, NY 11234-4701
(718) 692-4239
Mailing address
2055 E 57TH ST, BROOKLYN, NY 11234-4701
(718) 692-4239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001812
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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