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NPI Code Detail

MEDICARE: MR. TIMOTHY JOHN OAKES F.N.P.

MEDICARE: MR. TIMOTHY JOHN OAKES F.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse6617741NY
2363LF0000XFamily Nurse PractitionerF338532NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205278157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY JOHN OAKES F.N.P.
Provider Business Mailing Address
First Line : 60 MADISON AVE
Second Line : 5TH FLOOR
City : NEW YORK
State : NY
Zip : 10010-1600
Country : US
Telephone Number : 212-545-2400
Fax Number :
Provider Business Practice Location Address
First Line : 999 BLAKE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-3535
Country : US
Telephone Number : 718-277-8303
Fax Number : 718-277-4795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2013
Last Update Date : 10/27/2016

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