Individual
MR. TIMOTHY SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L PLACE, BOX 1149, NEW YORK, NY 10029
(802) 578-9543
Mailing address
1 GUSTAVE L PLACE, BOX 1149, NEW YORK, NY 10029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00264
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
02/01/2021
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