Individual provider · Type 1 NPI
Timothy Richard Dackow, NURSE PRACTITIONER
Adult Health Nurse Practitioner · East Moriches, NY
NPI number
1144700741
Active
Practice location
7 Newpoint Ln
East Moriches, NY 11940-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F3088261 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in East Moriches
About NPI 1144700741
Timothy Richard Dackow, NURSE PRACTITIONER's National Provider Identifier is 1144700741, issued on Aug 14, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Moriches, NY. The record was last updated on Aug 14, 2018.