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Individual
DR. TIMOTHY MICHAEL HEYDEN
Active
Individual
DR. TIMOTHY MICHAEL HEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196974
NY
208000000X
Pediatrics Physician
196974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01616191
—
NY
01
—
196974
NEW YORK LICENSE NUMBER
NY
Enumeration date
04/14/2006
Last updated
01/21/2010
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