Healthcare Provider Details

I. General information

NPI: 1134705239
Provider Name (Legal Business Name): MEGAN TAGGART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HANDLEY ST STE 2
PERRY NY
14530-1342
US

IV. Provider business mailing address

777 CLINTON AVE S
ROCHESTER NY
14620-1448
US

V. Phone/Fax

Practice location:
  • Phone: 585-237-3227
  • Fax: 585-237-6075
Mailing address:
  • Phone: 585-279-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number320662
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: