Individual
RAJIEV TIMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
9209 107TH AVE, OZONE PARK, NY 11417-1510
(718) 835-1846
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011992
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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