Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koko Taylor

Individual provider Licensed Practical Nurse · NPI 1023883469

Koko Taylor is a Licensed Practical Nurse in Roosevelt, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

103 Pennsylvania Ave
Roosevelt, NY 11575-1921
Phone: (516) 810-0707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 348575 (NY)

Record details

NPI number1023883469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address103 Pennsylvania Ave, Roosevelt, NY 11575-1921

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