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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861464372 NPPES
New York MEDICAID 01890702

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