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Individual
MR. TIMOTHY JOHN FEDEROWICZ
Active
Individual
MR. TIMOTHY JOHN FEDEROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008806
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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