Individual
DR. MATTHEW B TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 HALLOCK RD STE 4A, STONY BROOK, NY 11790-3000
(631) 762-9910
Mailing address
131 DERBY ST, VALLEY STREAM, NY 11581-1836
(718) 839-0092
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061919
NY
Other
Enumeration date
03/07/2019
Last updated
09/24/2021
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