National Provider Identifier

Taylor Jacobs

Taylor Jacobs is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 688-9641.

NPI 1720662281Williamsville, NYFamily Medicine Physician

Profile Overview

NPI
1720662281
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 11, 2021
Last Updated
July 26, 2024

Practice Location

  • 850 Hopkins RD
  • Williamsville, NY 14221-1729

Phone: (716) 688-9641

Mailing Address

  • 6255 Sheridan Dr Ste 304
  • Williamsville, NY 14221-4825

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1720662281
Entity Type
Individual
Last Name
Jacobs
First Name
Taylor
Mailing Street Address
6255 Sheridan Dr Ste 304
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4825
Mailing Country
US
Mailing Phone
(716) 636-7990
Mailing Fax
(716) 636-7992
Practice Street Address
850 Hopkins RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-1729
Practice Country
US
Practice Phone
(716) 688-9641
Enumeration Date
May 11, 2021
Last Updated
July 26, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 26, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)