Individual
DEREK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 279-3352
Mailing address
263 ATLANTIC AVE, MASSAPEQUA PARK, NY 11762-1821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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