Provider Demographics
NPI:1861138000
Name:TAYLOR-HASLIP, VALERIE M (PHD, RN, FNP)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:M
Last Name:TAYLOR-HASLIP
Suffix:
Gender:F
Credentials:PHD, RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2840
Mailing Address - Country:US
Mailing Address - Phone:516-302-3663
Mailing Address - Fax:
Practice Address - Street 1:525 PARK AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2840
Practice Address - Country:US
Practice Address - Phone:516-302-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332565363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily