Individual
NELYA TIMOSHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Mailing address
5784 WIDEWATERS PKWY STE 2, SYRACUSE, NY 13214-1890
(315) 469-1130
(315) 469-1134
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
579727-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
109333
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
579727-1
NY
Other
Enumeration date
11/13/2015
Last updated
03/02/2026
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