Individual
TIMOTHY STEPHEN EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1722 PURDY ST, APT. 4B, BRONX, NY 10462-6368
(917) 659-2626
Mailing address
1722 PURDY ST, APT. 4B, BRONX, NY 10462-6368
(917) 659-2626
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340611-1
NY
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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