Healthcare Provider Details

I. General information

NPI: 1821510926
Provider Name (Legal Business Name): NANCY KURIA-TAYLOR LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 ROLLING WAY
PEEKSKILL NY
10566-2471
US

IV. Provider business mailing address

133 ROLLING WAY
PEEKSKILL NY
10566-2471
US

V. Phone/Fax

Practice location:
  • Phone: 917-583-7603
  • Fax:
Mailing address:
  • Phone: 917-583-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20367
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number099461
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: