Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 306374 | NY |
NPI | 1689106833 |
---|---|
Provider Name | David Taylor Guernsey III |
First Address | Brooklyn, NY 11219 |
Second Address | Brooklyn, NY 11219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 16/08/2021 |