Mr. Timothy Richard Dackow, NURSEPRACTITIONER
Mr. Timothy Richard Dackow, NURSEPRACTITIONER is a Nurse Practitioner in East Moriches, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2018, 8 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 8
- Trained at
- State University of New York at Stony Brook, School of Medicine
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
7 Newpoint LnEast Moriches, NY 11940-1565
Phone: (516) 322-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F3088261 (NY) |
|---|
Record details
| NPI number | 1144700741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | August 14, 2018 |
| Last updated in NPPES | August 14, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Stony Brook Internists University Faculty Practice Corporation — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in East Moriches
-
Jason Meyer
516 Montauk Hwy Ste 1, East Moriches, NY 11940-1236 · (631) 874-2900
-
Mrs. Joyce S Wong, NP
41 Bay Ave, East Moriches, NY 11940-1209 · (631) 878-1543