SearchNew York163W00000X

Taila Clyburn

NPI 1891618708 · on the registry since 2026

Practice

Address
51 Winter Ave
Staten Island, NY 10301
Phone
(646) 508-1548

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York