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Individual
TIMOTHY C NOSBISCH
Active
Individual
TIMOTHY C NOSBISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011283007
UNIVERA #
NY
01
—
000611346004
HEALTH NOW BCBS #
NY
01
—
050209000093
FIDELIS CARE #
NY
01
—
159885FT
PREFERRED CARE #
NY
01
—
9390427
IHA #
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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