Individual provider · Type 1 NPI

Tim Bevan

Specialist · West Islip, NY

NPI number 1467716829 Active

Practice location

10 Carolee Ct
West Islip, NY 11795-5104

Call (516) 395-4568 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1467716829

Tim Bevan's National Provider Identifier is 1467716829, issued on Jun 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Islip, NY. The record was last updated on Jun 30, 2012.