Individual
CHRISTIAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
18616 BRINKERHOFF AVE, SAINT ALBANS, NY 11412-1903
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004259-1
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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