Individual provider · Type 1 NPI

Timothy Joseph Dickson, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1467743963 Active

Practice location

622 W 168th St Ph 5
New York, NY 10032-3720

Mailing address

291 Lindsay St.
Winnipeg, MANITOBA R3N1H2

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X16-653 (ZZ)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1467743963

Timothy Joseph Dickson, MD's National Provider Identifier is 1467743963, issued on May 2, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 2, 2011.