Healthcare Provider Details

I. General information

NPI: 1215079397
Provider Name (Legal Business Name): MARIA TERESA TIMONEY C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 GRAND CONCOURSE 5TH FL. OBGYN ADMINISTRATION SUITE
BRONX NY
10457-7606
US

IV. Provider business mailing address

884 W END AVE APT 33
NEW YORK NY
10025-3515
US

V. Phone/Fax

Practice location:
  • Phone: 718-239-8383
  • Fax: 718-239-8360
Mailing address:
  • Phone: 212-222-6071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF000897-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: