Individual
MR. CLEVELAND E TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
516 LAKE RD, NEW WINDSOR, NY 12553-5982
(845) 567-6033
Mailing address
516 LAKE RD, NEW WINDSOR, NY 12553-5982
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
209137-1
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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