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NPI Code Detail

MEDICARE: MS. CYDNEY TAYLOR RPA-C

MEDICARE: MS. CYDNEY TAYLOR RPA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant007095-1NY

General Provider Information

NPI Number : 1033162417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYDNEY TAYLOR RPA-C
Provider Business Mailing Address
First Line : 22 CHAPEL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-1903
Country : US
Telephone Number : 718-260-2962
Fax Number : 718-522-3186
Provider Business Practice Location Address
First Line : 494 DUMONT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-5017
Country : US
Telephone Number : 718-345-4264
Fax Number : 718-345-1009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/08/2012

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