Individual
ASHA TIMOTHEOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 W 19TH ST APT 1, NEW YORK, NY 10011-4232
(212) 675-7877
Mailing address
29 W 19TH ST APT 1, NEW YORK, NY 10011-4232
(212) 675-7877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061976
NY
Other
Enumeration date
04/23/2020
Last updated
01/09/2026
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