Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 172V00000X | Community Health Worker | | 267111 | NEW YORK | No |
| 2 | 207P00000X | Emergency Medicine | | 267111 | NEW YORK | No |
| 3 | 207Q00000X | Family Medicine | | 267111 | NEW YORK | No |
| 4 | 207N00000X | Dermatology | | 267111 | NEW YORK | No |
| 5 | 207QA0505X | Family Medicine | Adult Medicine | 267111 | NEW YORK | No |
| 6 | 207QG0300X | Family Medicine | Geriatric Medicine | 267111 | NEW YORK | No |
| 7 | 251F00000X | Home Infusion | | 267111 | NEW YORK | No |
| 8 | 251S00000X | Community/Behavioral Health | | | | No |
| 9 | 261Q00000X | Clinic/Center | | 267111 | NEW YORK | No |
| 10 | 251J00000X | Nursing Care | | | | No |
| 11 | 261QS1000X | Clinic/Center | Student Health | 267111 | NEW YORK | No |
| 12 | 261QU0200X | Clinic/Center | Urgent Care | 267111 | NEW YORK | No |
| 13 | 305S00000X | Point of Service | | 267111 | NEW YORK | No |
| 14 | 385H00000X | Respite Care | | | | No |
| 15 | 164W00000X | Licensed Practical Nurse | | 267111 | NEW YORK | Yes |
