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NPI Code Detail

MEDICARE: COLIN TAYLOR

MEDICARE: COLIN TAYLOR
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1699633594
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN TAYLOR
Provider Business Mailing Address
First Line : 53 STATE ST
Second Line :
City : CANTON
State : NY
Zip : 13617-2001
Country : US
Telephone Number : 315-212-7027
Fax Number :
Provider Business Practice Location Address
First Line : 3690 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3537
Country : US
Telephone Number : 585-385-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ COLIN TAYLOR ” Practice Location

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