| Timothy Timmons Do Pc | |
|
13663 41st Ave 3/floor Flushing NY 11355-2433 | |
| (917) 412-1925 | |
| Not Available |
| Full Name | Timothy Timmons Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13663 41st Ave, Flushing, New York |
| Authorized Official Name and Position | Timothy Francis Timmons (OWNER) |
| Authorized Official Contact | 9174121925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Timmons Do Pc 136-63 41st Avenue 3/floor Flushing NY 11355 Ph: (917) 412-1925 | Timothy Timmons Do Pc 13663 41st Ave 3/floor Flushing NY 11355-2433 Ph: (917) 412-1925 |
| NPI Number | 1699962787 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699962787 | NPI | - | NPPES |
| 02529748 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 215148 (New York) | Primary |
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