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MR. TIMOTHY CARPENTER SILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(203) 628-0434
Mailing address
400 DOANSBURG RD, BREWSTER, NY 10509-5902
(203) 628-0434

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124019
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402092-1
NY

Other

Enumeration date
02/16/2016
Last updated
04/11/2017
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