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Mr. Timothy Richard Dackow, NURSEPRACTITIONER
Adult Health Nurse Practitioner in East Moriches, New York
NPI 1144700741

Timothy Richard Dackow is an Adult Health Nurse Practitioner based in East Moriches, NY and is specialized in Adult Health. Timothy Richard Dackow practices in East Moriches, NY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Timothy Richard Dackow is 1144700741 and holds a License No. F3088261 (New York).

The current practice location address for Timothy Richard Dackow is 7 Newpoint Ln, East Moriches, NY and can be reached out via phone at 516-322-8850.

Location: 7 Newpoint Ln, East Moriches, NY, 11940-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144700741
Provider Name
Timothy Richard Dackow
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
7 Newpoint Ln, East Moriches, NY, 11940-1565
Phone Number
516-322-8850
Fax Number
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7 Newpoint Ln
City
East Moriches
State
New York
Zip
11940-1565
Phone Number
516-322-8850
Fax Number
person
Provider Business Mailing Address Details
Address
7 Newpoint Ln
City
East Moriches
State
New York
Zip
11940-1565
Phone Number
516-322-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F3088261 (New York)
Definition
Definition to come...
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