Mr Johnny Willie Taylor Jr, - Counselor in Bronx, NY

Mr Johnny Willie Taylor Jr, is a Counselor - Addiction (substance Use Disorder) based in Bronx, New York. Mr Johnny Willie Taylor Jr is licensed to practice in New York (license number 24840) and his current practice location is 1600 Macombs Rd, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at (718) 299-3300.

NPI number for Mr Johnny Willie Taylor Jr is 1538676705 and his current mailing address is 1600 Macombs Rd, Bronx, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538676705.

Contact Information

Mr Johnny Willie Taylor Jr,
1600 Macombs Rd,
Bronx, NY 10452-2016
(718) 299-3300
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Johnny Willie Taylor Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1600 Macombs Rd, Bronx, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538676705
  • Provider Enumeration Date: 01/09/2018
  • Last Update Date: 01/09/2018

Medical Identifiers

Medical identifiers for Mr Johnny Willie Taylor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538676705NPI-NPPES
1093883720MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 24840 (New York)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Johnny Willie Taylor Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Johnny Willie Taylor Jr,
1600 Macombs Rd,
Bronx, NY 10452-2016

Ph: (718) 299-3300
Mr Johnny Willie Taylor Jr,
1600 Macombs Rd,
Bronx, NY 10452-2016

Ph: (718) 299-3300

Reviews and Comments


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