Individual
MEGAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
63 MARYLAND AVE, STATEN ISLAND, NY 10305-3115
(917) 831-0626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
23.006771
CT
Other
Enumeration date
09/10/2024
Last updated
09/19/2024
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