Individual
MS. ELEANOR THAYER TIMRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001556
NY
Other
Enumeration date
08/27/2013
Last updated
09/03/2013
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