Provider Demographics
NPI:1811356983
Name:TAYLOR, SHERRI YVONNE
Entity type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:YVONNE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3520
Mailing Address - Country:US
Mailing Address - Phone:914-997-0420
Mailing Address - Fax:914-997-7951
Practice Address - Street 1:777 WESTCHESTER AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-3520
Practice Address - Country:US
Practice Address - Phone:914-997-0420
Practice Address - Fax:914-997-7951
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220021164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse