Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 249794-1 | NY |
NPI | 1366608622 |
---|---|
Provider Name | Dr. Ben M Taylor |
First Address | Brooklyn, NY 11215-1486 |
Second Address | Brooklyn, NY 11215-1486 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 14/08/2015 |