Provider Demographics
NPI:1932977550
Name:TAYO, ARLENE GADIA (BSN)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:GADIA
Last Name:TAYO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 VASSAR PL
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-4900
Mailing Address - Country:US
Mailing Address - Phone:845-240-6667
Mailing Address - Fax:
Practice Address - Street 1:140 W ORANGEBURG RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2006
Practice Address - Country:US
Practice Address - Phone:845-240-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY540046163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse