Individual
MISS DANA MARIE ELIZABETH TAITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 24TH AVE, EAST ELMHURST, NY 11369-1313
(646) 316-4736
Mailing address
10105 24TH AVE, EAST ELMHURST, NY 11369-1313
(862) 403-9118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
08/01/2025
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