Individual
MRS. BETH MICHELLE TAYLOR I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 456-3085
Mailing address
47 WYOMING DR, HUNTINGTON STATION, NY 11746-2655
(516) 456-3085
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/26/2009
Last updated
09/26/2011
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