Timmerman, Tara Lynn

Timmerman, Tara Lynn is an sole proprietor health care provider with primary practice located at 184 E 70Th St Suite B2, New York NY 10021-5154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Timmerman, Tara Lynn can be contacted via phone (212) 737-4174.

Contact Information

Primary practice address
184 E 70Th St Suite B2 New York NY 10021-5154
Fax: (212) 737-3392
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 214284 New York

Profile Details

NPI number 1720058456
LBN Legal business name Timmerman, Tara Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Oct 15th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720058456 NPPES
New York MEDICAID 02193066

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