Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 012816 | NY |
Y | 111NN0400X | Neurology | 012816 | NY |
NPI | 1295196764 |
---|---|
Provider Name | Dr. Taronte Eugene Venable |
First Address | New York, NY 10065-9100 |
Second Address | New York, NY 10065-9100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2016 |
Last Update Date | 05/08/2021 |