Individual
ZACHARYS TAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
100 MERRICK RD STE 128W, ROCKVILLE CENTRE, NY 11570-4821
(516) 255-9031
Mailing address
47 CRANSTON ST, BOSTON, MA 02130-1805
(617) 615-5754
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4710
CNIM
NH
Enumeration date
02/09/2022
Last updated
02/09/2022
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