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 | 261QA1903X | Clinic/Center | Ambulatory Surgical | 142765-1 | NEW YORK | No |
| 2 | 311500000X | Alzheimer Center (Dementia Center) | | 142765-1 | NEW YORK | No |
| 3 | 311ZA0620X | Custodial Care Facility | Adult Care Home | 142765-1 | NEW YORK | No |
| 4 | 315D00000X | Hospice, Inpatient | | 142765 | NEW YORK | No |
| 5 | 314000000X | Skilled Nursing Facility | | 142765-1 | NEW YORK | Yes |