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Individual

SAMUEL HENRY TAYLOR-D'AMBROSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSN, RN, MSN, PNP-PC

Contact information

Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(646) 962-3442
Mailing address
677 VANDERBILT AVE APT 3A, BROOKLYN, NY 11238-4440

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383726
NY

Other

Enumeration date
04/15/2025
Last updated
04/20/2025
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