Individual
DENIECA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
669265
NY
363L00000X
Nurse Practitioner
Primary
F347311
NY
Other
Enumeration date
05/17/2013
Last updated
02/23/2021
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