Individual
TIMOTHY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1468 MADISON AVE BLDG 15.58, NEW YORK, NY 10029-6508
(713) 408-2249
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
294695
NY
Other
Enumeration date
04/23/2014
Last updated
08/10/2022
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