Individual
TIMOTHY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT, CSPT
Contact information
Practice address
160 E 53RD ST, NEW YORK, NY 10022-5243
(212) 610-0117
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
001339
NY
Other
Enumeration date
12/04/2025
Last updated
02/19/2026
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