Taylor Rose Destio

NPI #1548815152 in Howard Beach, New York

Provider Information

NPI Number: 1548815152
Entity Type: Individual
Name: Taylor Rose Destio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 9, 2019
Last Updated: Aug 9, 2019

Practice Location

Address: 10114 157TH AVE
City: Howard Beach
State: New York
ZIP Code: 11414-2847
Phone: (347) 239-1821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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