Individual
GINA A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 46, BROOKLYN, NY 11203-2056
(718) 270-1229
Mailing address
324 14TH ST, #1, BROOKLYN, NY 11215-5010
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
250930-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02724463
—
NY
Enumeration date
01/03/2006
Last updated
05/13/2009
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