MEDICARE: LINDA L TAO MD

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	207R00000X	Internal Medicine Physician	173428	NY
2	207RC0000X	Cardiovascular Disease Physician	173428	NY

General Provider Information

NPI Number	:	1427160985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA L TAO MD

Provider Business Mailing Address
First Line	:	254 CANAL ST
Second Line	:	SUITE 5003
City	:	NEW YORK
State	:	NY
Zip	:	10013-3501
Country	:	US
Telephone Number	:	212-966-9160
Fax Number	:	212-965-8953

Provider Business Practice Location Address
First Line	:	254 CANAL ST
Second Line	:	SUITE 5003
City	:	NEW YORK
State	:	NY
Zip	:	10013-3501
Country	:	US
Telephone Number	:	212-966-9160
Fax Number	:	212-965-8953

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/27/2016

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Directions to “ LINDA L TAO MD” Practice Location

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