Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X006679-1 | NY |
NPI | 1558459370 |
---|---|
Provider Name | Dr. Patricia Ann Taylor |
First Address | New Hartford, NY 13413-2651 |
Second Address | New Hartford, NY 13413-2651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CO-6679-1 | WORKERS COMP. # NYS (01) | NY |
U30536 | (02) |