Healthcare Provider Details

I. General information

NPI: 1558459370
Provider Name (Legal Business Name): PATRICIA ANN TAYLOR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OXFORD RD SUITE 200
NEW HARTFORD NY
13413-2651
US

IV. Provider business mailing address

1 OXFORD RD SUITE 200
NEW HARTFORD NY
13413-2651
US

V. Phone/Fax

Practice location:
  • Phone: 315-738-1800
  • Fax: 315-738-7908
Mailing address:
  • Phone: 315-738-1800
  • Fax: 315-738-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberX006679-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: