Individual
ANTONIA TAGLIARENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BELMONT RD, SOUND BEACH, NY 11789-2414
(631) 764-0960
Mailing address
35 BELMONT RD, SOUND BEACH, NY 11789-2414
(631) 764-0960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295177-1
NY
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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