Provider Demographics
NPI:1184944027
Name:TAYLOR-KAMARA, HAJA B (DC)
Entity type:Individual
Prefix:MISS
First Name:HAJA
Middle Name:B
Last Name:TAYLOR-KAMARA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1163 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2408
Mailing Address - Country:US
Mailing Address - Phone:718-727-0055
Mailing Address - Fax:718-727-3020
Practice Address - Street 1:1163 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2408
Practice Address - Country:US
Practice Address - Phone:718-727-0055
Practice Address - Fax:718-727-3020
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012026-2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor