Individual
TIMOTHY ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 MIDDLE RD, BLUE POINT, NY 11715-1916
(631) 708-5834
Mailing address
326 MIDDLE RD, BLUE POINT, NY 11715-1916
(631) 708-5834
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1231102002
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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