Provider Demographics
NPI:1801903075
Name:TAYLOR CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:TAYLOR CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-565-2225
Mailing Address - Street 1:388 BLOOMING GROVE TPKE
Mailing Address - Street 2:#200
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7760
Mailing Address - Country:US
Mailing Address - Phone:845-565-2225
Mailing Address - Fax:845-565-1463
Practice Address - Street 1:388 BLOOMING GROVE TPKE
Practice Address - Street 2:#200
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7760
Practice Address - Country:US
Practice Address - Phone:845-565-2225
Practice Address - Fax:845-565-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006000-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU41039Medicare UPIN
NYX58611Medicare ID - Type UnspecifiedPROVIDER NUMBER