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NPI Code Detail

MEDICARE: DR. CHRISTIAN TIMM DO

MEDICARE: DR. CHRISTIAN TIMM DO
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
1207P00000XEmergency Medicine Physician34147601NY
2208D00000XGeneral Practice Physician341476-01NY
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568167781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN TIMM DO
Provider Business Mailing Address
First Line : 31 W 85TH ST APT 3C
Second Line :
City : NEW YORK
State : NY
Zip : 10024-4159
Country : US
Telephone Number : 414-218-3486
Fax Number :
Provider Business Practice Location Address
First Line : 4422 3RD AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-2545
Country : US
Telephone Number : 718-960-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 05/21/2026

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