Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X013327-01 | NY |
NPI | 1003454281 |
---|---|
Provider Name | Dr. Taylor Allen Flanick |
First Address | Skaneateles, NY 13152 |
Second Address | Skaneateles, NY 13152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2019 |
Last Update Date | 18/12/2019 |