Individual
ALYSHIANN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CEDAR ST., 46 8TH FLOOR, FLORAL PARK, NY 11001
(516) 623-8999
Mailing address
205 ROCKAWAY AVE UNIT 2099, VALLEY STREAM, NY 11580-5825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
286446
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403961
NY
Other
Enumeration date
03/21/2010
Last updated
04/19/2022
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