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NPI Code Detail

MEDICARE: DR. SCOTT WILLIAM TAYLOR D.P.M.

MEDICARE: DR. SCOTT WILLIAM TAYLOR D.P.M.
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
1213ES0103XFoot & Ankle Surgery Podiatrist609CO
2213E00000XPodiatristN007144NY

General Provider Information

NPI Number : 1164647715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT WILLIAM TAYLOR D.P.M.
Provider Business Mailing Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number : 315-458-9661
Provider Business Practice Location Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number : 315-458-9661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 03/30/2022

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