Provider Demographics
NPI:1215599832
Name:UNSER, TAYLOR ALEXANDRA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:ALEXANDRA
Last Name:UNSER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5942
Mailing Address - Country:US
Mailing Address - Phone:315-733-1148
Mailing Address - Fax:315-266-9129
Practice Address - Street 1:2115 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5942
Practice Address - Country:US
Practice Address - Phone:315-733-1148
Practice Address - Fax:315-266-9129
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344508207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease