Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Jay Shevlin Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437780855

Timothy Jay Shevlin Jr. is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7002
Phone: (267) 374-2564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1437780855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 4, 2020
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address1225 Cobblestone Dr, Quakertown, PA 18951-2657

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