Healthcare Provider Details

I. General information

NPI: 1437068301
Provider Name (Legal Business Name): XAVIER TALAN ASLOR RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MUNRO BLVD
VALLEY STREAM NY
11581-3309
US

IV. Provider business mailing address

48 MUNRO BLVD
VALLEY STREAM NY
11581-3309
US

V. Phone/Fax

Practice location:
  • Phone: 929-674-8509
  • Fax:
Mailing address:
  • Phone: 929-674-8509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number827004
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: