Individual provider · Type 1 NPI
Timothy Stephen Emanuel, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Bronx, NY
NPI number
1447598180
Active
Practice location
1722 Purdy St, Apt. 4B
Bronx, NY 10462-6368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F340611-1 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1447598180
Timothy Stephen Emanuel, NURSE PRACTITIONER's National Provider Identifier is 1447598180, issued on Jan 30, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bronx, NY. The record was last updated on Jan 30, 2013.