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
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042
- Phone
- (516) 465-5255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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