Individual
MS. ALTAGRACIA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3940 BROADWAY FL 2, NEW YORK, NY 10032-1534
(718) 299-1100
Mailing address
105 HAVEN AVE APT 3F, NEW YORK, NY 10032-2716
(917) 863-9971
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
7956324
NY
Other
Enumeration date
11/24/2013
Last updated
11/24/2013
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