Healthcare Provider Details

I. General information

NPI: 1215599832
Provider Name (Legal Business Name): TAYLOR ALEXANDRA UNSER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 MIDDLE SETTLEMENT RD
NEW HARTFORD NY
13413-5331
US

IV. Provider business mailing address

111 HOSPITAL DR
UTICA NY
13502-2517
US

V. Phone/Fax

Practice location:
  • Phone: 315-733-1148
  • Fax: 315-266-9129
Mailing address:
  • Phone: 315-733-1148
  • Fax: 315-266-9129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344508
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: