Healthcare Provider Details

I. General information

NPI: 1801920723
Provider Name (Legal Business Name): KATE TAUBER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE DEPT PEDIATRICS
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVE DEPT PEDIATRICS
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-5421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number258715
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: