Yalissa Taveras, NURSE PRACTITIONER

NPI #1215690896 in Lake Success, New York

Provider Information

NPI Number
1215690896
Entity Type
Individual
Name
Yalissa Taveras, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Oct 20, 2021
Last Updated
Oct 5, 2022

Practice Location

Address
2001 MARCUS AVENUE
Address 2
SUITE W290
ZIP Code
11042
Phone
(516) 465-5255

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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