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

Yalissa Taveras, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1215690896

Yalissa Taveras, NURSEPRACTITIONER is a Family Nurse Practitioner in Lake Success, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

2001 Marcus Ave Ste W290
Lake Success, NY 11042
Phone: (516) 465-5255
Fax: (718) 347-2240
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348494 (NY)

Record details

NPI number1215690896
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 20, 2021
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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