Taylor, Vivienne Elaine
Taylor, Vivienne Elaine is an individual health care provider with primary practice located at 1801 Black River Blvd N , Rome NY 13440-2427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Taylor, Vivienne Elaine can be contacted via phone (315) 337-3770.Contact Information
Primary practice address
1801 Black River Blvd N
Rome NY 13440-2427
Phone: (315) 337-3770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 211115 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 211115 | New York |
Profile Details
| NPI number | 1861464372 |
|---|---|
| LBN Legal business name | Taylor, Vivienne Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861464372 | NPPES |
| New York | MEDICAID | 01890702 |
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