Mahan, Timothy Brian

Mahan, Timothy Brian is an individual health care provider with primary practice located at 215 E Main St , Smithtown NY 11787-2807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Mahan, Timothy Brian can be contacted via phone (631) 265-5858.

Contact Information

Primary practice address
215 E Main St Smithtown NY 11787-2807
Phone: (631) 265-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302209-1 New York

Profile Details

NPI number 1437376498
LBN Legal business name Mahan, Timothy Brian
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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