Individual
MR. TAYLOR HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(678) 599-3808
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(678) 599-3808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284072
GA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
284072
GA
Other
Enumeration date
06/10/2022
Last updated
07/25/2022
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