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NPI 1346014297

NPI 1346014297 : TIMOTHY DOWNEY : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1346014297
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY DOWNEY
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/10/2023
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    Last Update Date     |    11/10/2023
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Provider Practice Location Address
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    Address Line         |    225 E 83RD ST APT 4W 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10028-2844
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    Country              |    US
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    Telephone            |    646-360-0799
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 FRANKLIN ST APT 2L 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11222-5804
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    Country              |    US
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    Telephone            |    231-881-0653
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    051680
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    License Number State |    NY
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