Individual
DR. NANCY TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 CLARKSON AVE # NS52, BROOKLYN, NY 11203-2012
(718) 270-2003
Mailing address
135 EASTERN PKWY APT 10L, BROOKLYN, NY 11238-6071
(718) 312-2241
(347) 402-2249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
186602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633009
—
NY
01
—
186602-B16
HEALTH FIRST
NY
01
—
282381
MHN
NY
01
—
P1114582
OXFORD PROVIDER
NY
Enumeration date
09/23/2005
Last updated
04/26/2019
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