Individual
ANDREA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8825 163RD ST, JAMAICA, NY 11432-4046
(718) 739-0045
Mailing address
241 E 55TH ST APT 2R, BROOKLYN, NY 11203-4740
(718) 462-2904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305003
NY
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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