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Individual

DR. TIMOTHY JOHN MOSOMILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., N.M.M.

Contact information

Practice address
426 GREAT EAST NECK RD, SUITE C, WEST BABYLON, NY 11704-7626
(631) 661-6611
(631) 661-5504
Mailing address
426 GREAT EAST NECK RD, SUITE C, WEST BABYLON, NY 11704-7626
(631) 661-6611
(631) 661-5504

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
185229
NY

Other

Enumeration date
07/09/2006
Last updated
07/08/2007
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