Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | X009988-1 | NY |
Y | 213ER0200X | Radiology | X009988-1 | NY |
NPI | 1467469874 |
---|---|
Provider Name | Dr. John A Taylor |
First Address | Buffalo, NY 14214-1718 |
Second Address | Buffalo, NY 14214-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 04/09/2013 |