Provider Demographics
NPI:1851480792
Name:TAYLOR, ANNE L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:L
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:630 WEST 168TH ST., SUITE 1-132
Mailing Address - Street 2:COLUMBIA UNIVERSITY COLLEGE OF P&S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-4993
Mailing Address - Fax:212-304-5528
Practice Address - Street 1:630 W 168TH ST STE 1-132
Practice Address - Street 2:COLLEGE OF P & S, SUITE 1-132
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-305-4993
Practice Address - Fax:212-304-5528
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY208777207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN25-00437OtherMEDICA CHOICE
MN009A6TAOtherBLUE CROSS BLUE SHIELD
IA0538660Medicaid
MNHP31650OtherHEALTH PARTNERS
MN25-00021OtherMEDICA PRIMARY
MN1132321OtherARAZ
SD7777470Medicaid
ND10387Medicaid
MN294959OtherFAIRVIEW
MN140156OtherUCARE
WI34046100Medicaid
MN672609700Medicaid
MN1025647OtherPREFERRED ONE
WI34046100Medicaid
060001261Medicare ID - Type Unspecified