Provider Demographics
NPI:1427160985
Name:TAO, LINDA L (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:TAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:254 CANAL ST
Mailing Address - Street 2:SUITE 5003
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3501
Mailing Address - Country:US
Mailing Address - Phone:212-966-9160
Mailing Address - Fax:212-965-8953
Practice Address - Street 1:254 CANAL ST
Practice Address - Street 2:SUITE 5003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3501
Practice Address - Country:US
Practice Address - Phone:212-966-9160
Practice Address - Fax:212-965-8953
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY173428207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F24544Medicare UPIN