Taveras, Yalissa

Taveras, Yalissa is an sole proprietor health care provider with primary practice located at 2001 Marcus Avenue Suite W290, Lake Success NY 11042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Taveras, Yalissa can be contacted via phone (516) 465-5255.

Contact Information

Primary practice address
2001 Marcus Avenue Suite W290 Lake Success NY 11042
Fax: (718) 347-2240
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348494 New York

Profile Details

NPI number 1215690896
LBN Legal business name Taveras, Yalissa
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2021
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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