Individual
PUTTACHAT P TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 NORTHERN BLVD, GREAT NECK, NY 11021-5207
(516) 570-4400
(516) 570-4444
Mailing address
611 NORTHERN BLVD, GREAT NECK, NY 11021-5207
(516) 570-4400
(516) 570-4444
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303355
NY
Other
Enumeration date
03/31/2007
Last updated
09/11/2018
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