Individual
TIMOTHY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
350 SNEDIKER AVE APT 204, BROOKLYN, NY 11207-4521
(929) 709-7718
Mailing address
350 SNEDIKER AVE APT 204, BROOKLYN, NY 11207-4521
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-21555
NY
Other
Enumeration date
11/18/2024
Last updated
03/21/2025
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