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Individual

CAROL P TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 MAPLE AVE, WARWICK, NY 10990-1026
(845) 986-3311
(845) 987-2484
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226652
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A400062098
MEDICARE
Enumeration date
08/03/2005
Last updated
10/11/2012
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