Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAJE NELSON
Active Sole ProprietorTAJE NELSON is a Psychiatric Residential Treatment Facility healthcare provider located in PLEASANTVILLE, New York. NPI 1336969237 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · PLEASANTVILLE, NY
Registration Details
- NPI Number
- 1336969237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2024 (1.8696506892084 yrs)
- Last Updated
- Oct 15, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1075 BROADWAYPLEASANTVILLE, NY, 105702346Browse NY providers · Browse ZIP 10570
- Phone
- 9144918723
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.