MEDICARE: LOURDES V TAYAS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1902411838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES V TAYAS

Provider Business Mailing Address
First Line	:	6725 CLYDE ST APT 7J
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4014
Country	:	US
Telephone Number	:	917-600-8256
Fax Number	:

Provider Business Practice Location Address
First Line	:	6725 CLYDE ST APT 7J
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4014
Country	:	US
Telephone Number	:	917-600-8256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	09/08/2020

Similar Medicare Providers

1427789247 — MRS. WENDY DAVIS RN
Practice Location Address:

4014 FIR FOREST DR
SPRING, TX
77388-4938

Practice Phone: 281-783-9114
Practice Fax:

1558370197 — DR. GARY WOLK DOCKS D.P.M.
Practice Location Address:

18810 BEVERLY RD
BEVERLY HILLS, MI
48025-4014

Practice Phone: 248-646-5209
Practice Fax: 248-203-6927

1093991671 — GARY W DOCKS DPM PLLC
Practice Location Address:

18810 BEVERLY RD
BEVERLY HILLS, MI
48025-4014

Practice Phone: 248-646-5209
Practice Fax: 248-203-6927

1942476064 — MS. EILEEN P WALSH MSN,FNP
Practice Location Address:

212 S MAPLE DR
BEVERLY HILLS, CA
90212-4014

Practice Phone: 424-221-4122
Practice Fax:

1609179720 — DR. ROBERT WILLIAM DUBOIS M.D.
Practice Location Address:

268 S MAPLE DR
BEVERLY HILLS, CA
90212-4014

Practice Phone: 310-275-8869
Practice Fax:

1144613324 — MR. WILLIAM JOHNSON JR. M.S.
Practice Location Address:

4014 CYPRESS CT
COUNTRY CLUB HILLS, IL
60478-5752

Practice Phone: 708-365-6721
Practice Fax:

Directions to “ LOURDES V TAYAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.