TIMOTHY RICHARD DACKOW

EAST MORICHES, NY
NPI1144700741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  f3088261)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
Mr. TIMOTHY RICHARD DACKOW Nurse Practitioner
7 NEWPOINT LN
EAST MORICHES, NY 11940-1565
Phone number: 516-322-8850
Mailing Address
Mr. TIMOTHY RICHARD DACKOW Nurse Practitioner
7 NEWPOINT LN
EAST MORICHES, NY 11940-1565
Phone number: 516-322-8850