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NPI Code Detail

MEDICARE: MRS. MARIA ELENA MCTAGGART NP

MEDICARE: MRS. MARIA ELENA MCTAGGART NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalF305156NY
2363LA2200XAdult Health Nurse Practitioner305156NY

General Provider Information

NPI Number : 1043544943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ELENA MCTAGGART NP
Provider Business Mailing Address
First Line : 417 E 7TH AVE
Second Line :
City : ROSELLE
State : NJ
Zip : 07203-2214
Country : US
Telephone Number : 973-943-8339
Fax Number :
Provider Business Practice Location Address
First Line : 130 ROSE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2241
Country : US
Telephone Number : 718-980-1553
Fax Number : 877-669-6967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2009
Last Update Date : 03/17/2020

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