Individual
TAYLOR TALASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 CENTER ST APT 2, LOCK HAVEN, PA 17745-2710
(716) 499-9517
Mailing address
311 CENTER ST APT 2, LOCK HAVEN, PA 17745-2710
(716) 499-9517
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA061361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA061361
PENNSYLVANIA STATE BOARD OF MEDICINE
PA
Enumeration date
01/17/2020
Last updated
01/17/2020
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