Individual
TIMOTHY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 241-6426
(212) 876-3906
Mailing address
PO BOX 28082, NEW YORK, NY 10087-5024
(212) 987-3100
(412) 937-5710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585159-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
110286
NY
Other
Enumeration date
11/13/2015
Last updated
09/14/2025
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