Individual
MS. ERICA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(347) 583-5327
Mailing address
5502 103RD ST, 3, CORONA, NY 11368-3224
(347) 583-5327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/17/2015
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