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General NPI Number Information
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NPI Number | 1972886844
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Entity Type | Individual
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Provider Name | TIMOTHY DIIORIO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 245 5TH AVE FL 3
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 347-980-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 123 8TH AVE APT 1R
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City | BROOKLYN
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State | NY
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Zip | 11215-1708
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Country | US
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Telephone |
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 334905
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License Number State | NY
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