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Timothy Jay Shevlin JR.
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1437780855

Timothy Jay Shevlin JR. is a Student in an Organized Health Care Education/Training Program based in Quakertown, NY. Timothy Jay Shevlin JR. practices in Ithaca, NY. The NPI Number for Timothy Jay Shevlin JR. is 1437780855 and holds a License No. (New York).

The current practice location address for Timothy Jay Shevlin JR. is 953 Danby Rd, Ithaca, NY and can be reached out via phone at 267-374-2564.

Location: 953 Danby Rd, Ithaca, NY, 18951-2657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437780855
Provider Name
Timothy Jay Shevlin JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
953 Danby Rd, Ithaca, NY, 18951-2657
Phone Number
267-374-2564
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
953 Danby Rd
City
Ithaca
State
New York
Zip
14850-7002
Phone Number
267-374-2564
Fax Number
person
Provider Business Mailing Address Details
Address
953 Danby Rd
City
Ithaca
State
New York
Zip
14850-7002
Phone Number
267-374-2564
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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