MEDICARE: MR. TIMOTHY MICHAEL CHAMBERS L.AC., L.M.T.

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
1	171100000X	Acupuncturist	003727	NY

General Provider Information

NPI Number	:	1730355892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY MICHAEL CHAMBERS L.AC., L.M.T.

Provider Business Mailing Address
First Line	:	241 MULBERRY ST
Second Line	:	SUITE #13
City	:	NEW YORK
State	:	NY
Zip	:	10012-4131
Country	:	US
Telephone Number	:	212-219-9880
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 MULBERRY ST
Second Line	:	SUITE #13
City	:	NEW YORK
State	:	NY
Zip	:	10012-4131
Country	:	US
Telephone Number	:	212-219-9880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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