Healthcare Provider Details

I. General information

NPI: 1497345995
Provider Name (Legal Business Name): MS. TAYLOR FOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3391 RICHMOND AVE
STATEN ISLAND NY
10312-2025
US

IV. Provider business mailing address

3 MONTANA DR
COLTS NECK NJ
07722-1373
US

V. Phone/Fax

Practice location:
  • Phone: 718-608-9170
  • Fax:
Mailing address:
  • Phone: 732-977-7816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: