Individual
MISS TRACY ANN MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1654 ALLERTON AVE, BRONX, NY 10469-6130
(646) 353-1245
Mailing address
1654 ALLERTON AVE, BRONX, NY 10469-6130
(646) 353-1245
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
813385
NY
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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