MEDICARE: MRS. AMY WARD TAYLOR LCSW

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
1	282N00000X	General Acute Care Hospital	R014841-1	NY

General Provider Information

NPI Number	:	1184783888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY WARD TAYLOR LCSW

Provider Business Mailing Address
First Line	:	1111 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-1716
Country	:	US
Telephone Number	:	212-523-4084
Fax Number	:	212-523-4069

Provider Business Practice Location Address
First Line	:	1111 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-1716
Country	:	US
Telephone Number	:	212-523-4084
Fax Number	:	212-523-4069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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