Individual
CHARLES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1976 GRAND AVE, NORTH BALDWIN, NY 11510-2813
(516) 855-1800
Mailing address
730 RAILROAD AVE, B7, WEST BABYLON, NY 11704-7833
(516) 506-3127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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