Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 310282 | NY |
NPI | 1003582941 |
---|---|
Provider Name | Taryn Mcneil |
First Address | Oceanside, NY 11572-1551 |
Second Address | Oceanside, NY 11572-1551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2021 |
Last Update Date | 20/08/2021 |