Individual
LUCY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 CELIA ST, EAST PATCHOGUE, NY 11772-4720
(934) 222-4008
Mailing address
34 CELIA ST, EAST PATCHOGUE, NY 11772-4720
(934) 222-4008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
405300000X
Prevention Professional
20969
NY
Other
Enumeration date
07/12/2023
Last updated
03/13/2024
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