MEDICARE: ROBERT CUMMINGS TAYLOR MS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558441865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CUMMINGS TAYLOR MS

Provider Business Mailing Address
First Line	:	141 HAMPSHIRE ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14213-2016
Country	:	US
Telephone Number	:	716-882-1879
Fax Number	:

Provider Business Practice Location Address
First Line	:	923 MAIN ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1121
Country	:	US
Telephone Number	:	716-881-2591
Fax Number	:	716-881-0652

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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