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Individual

TAYLOR B STARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-2964
(585) 242-9733
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642
(585) 275-2964
(585) 242-9733

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
250457
NY
208000000X
Pediatrics Physician
250457
NY
2080A0000X
Pediatric Adolescent Medicine Physician
250457
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03488671
NY
Enumeration date
03/13/2008
Last updated
07/06/2023
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