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1649502568
BEVERLY TIMOTHY
JAMAICA, NY
NPI
1649502568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 302799)
Enumeration Date
2010-02-02
Last Update Date
2014-07-15
Business Address
-- BEVERLY TIMOTHY
9704 SUTPHIN BLVD
JAMAICA, NY 11435-4721
Phone number: 718-657-7088
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Mailing Address
-- BEVERLY TIMOTHY
86 COLONIAL AVE
FREEPORT, NY 11520-1251
Phone number:
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