Tayaba, Roland Guillermo

Tayaba, Roland Guillermo is an individual health care provider with primary practice located at 79 01 Broadway Room A1-9, Elmhurst NY 11373-1329. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Tayaba, Roland Guillermo can be contacted via phone (718) 334-4952.

Contact Information

Primary practice address
79 01 Broadway Room A1-9 Elmhurst NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 182596 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 182596 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 182595 New York

Profile Details

NPI number 1871527317
LBN Legal business name Tayaba, Roland Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 23rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871527317 NPPES
New York MEDICAID 01516650

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