Provider Demographics
NPI:1649079484
Name:D'ANNA, TAYLOR (RD, CLC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:D'ANNA
Suffix:
Gender:
Credentials:RD, CLC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:MCFADDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:171 FOXWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:171 FOXWOOD RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2516
Practice Address - Country:US
Practice Address - Phone:845-406-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered