MR. Timothy Richard Dackow, NURSE PRACTITIONER
NPI #1144700741 in East Moriches, New York
Provider Information
- NPI Number
- 1144700741
- Entity Type
- Individual
- Name
- MR. Timothy Richard Dackow, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 7 NEWPOINT LN
- City
- East Moriches
- State
- New York
- ZIP Code
- 11940-1565
- Phone
- (516) 322-8850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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