Provider Demographics
NPI:1093537102
Name:ALEXANDER COLON, TAYLOR B (DC)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:B
Last Name:ALEXANDER COLON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 N STAR RD
Mailing Address - Street 2:
Mailing Address - City:MOOERS
Mailing Address - State:NY
Mailing Address - Zip Code:12958-3619
Mailing Address - Country:US
Mailing Address - Phone:518-578-8641
Mailing Address - Fax:
Practice Address - Street 1:698 N STAR RD
Practice Address - Street 2:
Practice Address - City:MOOERS
Practice Address - State:NY
Practice Address - Zip Code:12958-3619
Practice Address - Country:US
Practice Address - Phone:518-578-8641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor