Tim Edwards
Tim Edwards is a Specialist in Port Jeff Sta, New York. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5 Farnham PlPort Jeff Sta, NY 11776-3412
Phone: (631) 882-8026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1669839080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2016 |
| Last updated in NPPES | January 16, 2016 |
| Mailing address | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 |
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Jamie Lyn Brennan
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Angela Donadio, MASPECIALEDUCATOR
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5 Farnham Pl, Port Jeff Sta, NY 11776-3412 · (631) 464-2155
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