Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 60850 | OR |
Y | 2251X0800X | Physical Therapist - Orthopedic | 041473-01 | NY |
NPI | 1063944510 |
---|---|
Provider Name | Dana M Taussig |
First Address | Westport, NY 12993-0164 |
Second Address | Westport, NY 12993-1299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 18/03/2021 |