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Individual
MR. TIMOTHY JOHN OAKES
Active
Individual
MR. TIMOTHY JOHN OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6617741
NY
363LF0000X
Family Nurse Practitioner
Primary
F338532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
05
—
04312658
—
NY
Enumeration date
07/19/2013
Last updated
10/27/2016
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