Individual
TUESDAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROUTE 59 STE 111, AIRMONT, NY 10901-4927
(845) 369-9701
Mailing address
2024 HAWTHORNE LN, MAHWAH, NJ 07430-3495
(304) 941-8567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P121431
NY
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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