Individual
DR. GODRICK ALLISTER TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8215 ROOSEVELT AVE FL 2, JACKSON HEIGHTS, NY 11372-7034
(718) 205-7709
(718) 205-7718
Mailing address
1031 E 102ND ST FL 1, BROOKLYN, NY 11236-4419
(347) 204-3362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052071
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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