Most Relevant Information
Provider Data
| NPI Number: | 1003669151 |
| Provider Name: | TAYLOR LEGALL |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 911458 |
Most Important Dates
| Enumeration Date: | 04/09/2024 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
89 BARTLETT ST
BROOKLYN
NY
112064463
Practice Location Phone/Fax
| Phone: | 7188282666 |
| Fax: |
Provider Mailing Location
89 BARTLETT ST
BROOKLYN
NY
112064463
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |