Individual
MRS. DOROTHY A TAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1307 CENTRAL AVE, FAR ROCKAWAY, NY 11691-3908
(718) 471-3634
Mailing address
496 ARLINGTON RD, CEDARHURST, NY 11516-1206
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
354046-1
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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