Provider Demographics
NPI:1558441865
Name:TAYLOR, ROBERT CUMMINGS (MS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CUMMINGS
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-2016
Mailing Address - Country:US
Mailing Address - Phone:716-882-1879
Mailing Address - Fax:
Practice Address - Street 1:923 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1121
Practice Address - Country:US
Practice Address - Phone:716-881-2591
Practice Address - Fax:716-881-0652
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health