Individual
MAURICE TAYAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BROADWAY APT 5J, ASTORIA, NY 11106-4886
(689) 345-4552
(689) 345-4552
Mailing address
1115 BROADWAY APT 5J, ASTORIA, NY 11106-4886
(689) 345-4552
(689) 345-4552
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
898058
NY
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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