Organization
HEALTHY THERAPEUTICS MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONDALPH SAMUEL TAYLOR JR. MD (FOUNDER)
(678) 381-5170
Entity
Organization
Contact information
Practice address
36 SAINT JOHNS PL, BROOKLYN, NY 11217-3206
(678) 381-5170
Mailing address
36 SAINT JOHNS PL, BROOKLYN, NY 11217-3206
(678) 381-5170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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