National Provider Identifier
Charles Thaddious Taylor Jr., LPN
Charles Thaddious Taylor Jr., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 351-1003.
Profile Overview
- NPI
- 1730786070
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 08, 2020
- Last Updated
- October 08, 2020
Practice Location
- 115 Chili Ave
- Rochester, NY 14611-2604
Phone: (585) 351-1003
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1730786070
- Entity Type
- Individual
- Last Name
- Taylor
- First Name
- Charles
- Middle Name
- Thaddious
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- LPN
- Mailing Street Address
- 115 Chili Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2604
- Mailing Country
- US
- Mailing Phone
- (585) 351-1003
- Practice Street Address
- 115 Chili Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-2604
- Practice Country
- US
- Practice Phone
- (585) 351-1003
- Enumeration Date
- October 08, 2020
- Last Updated
- October 08, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)