Individual provider · Type 1 NPI

Taylor Prokopiak, PA-C

Surgical Physician Assistant · Cortlandt Manor, NY

NPI number 1134957962 Active

Practice location

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144

Mailing address

15 Devonshire Ct
Cortlandt Manor, NY 10567-7100

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X032534 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1134957962

Taylor Prokopiak, PA-C's National Provider Identifier is 1134957962, issued on Jul 23, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cortlandt Manor, NY. The record was last updated on Sep 18, 2024.