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1144700741
TIMOTHY RICHARD DACKOW
EAST MORICHES, NY
NPI
1144700741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY f3088261)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
Mr. TIMOTHY RICHARD DACKOW Nurse Practitioner
7 NEWPOINT LN
EAST MORICHES, NY 11940-1565
Phone number: 516-322-8850
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Mailing Address
Mr. TIMOTHY RICHARD DACKOW Nurse Practitioner
7 NEWPOINT LN
EAST MORICHES, NY 11940-1565
Phone number: 516-322-8850
Copy
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