Individual
NETITA TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(917) 933-6927
Mailing address
11835 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-7211
(917) 933-6927
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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