← CMS Doctors and Clinicians

TIMOTHY R DACKOW, NP

NURSE PRACTITIONER · STONY BROOK, NY

Provider

NPI
1144700741
Credential
NP
Primary specialty
NURSE PRACTITIONER
Gender
Male
Medical school
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation year
2018

Practice

Address
100 NICOLLS RD, STONY BROOK, NY 117940001
Phone
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
JSON-LD · Markdown