Most Relevant Information
Provider Data
| NPI Number: | 1003260506 |
| Provider Name: | TIMOTHY ROY R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 689742 |
Most Important Dates
| Enumeration Date: | 04/20/2016 |
| Last Updated: | 04/20/2016 |
Provider Practice Location
47 COBBLESTONE DR
SHOREHAM
NY
117862311
Practice Location Phone/Fax
| Phone: | 6318056383 |
| Fax: | 6318495824 |
Provider Mailing Location
47 COBBLESTONE DR
SHOREHAM
NY
117862311
Provider Mailing Phone/Fax
| Phone: | 6318056383 |
| Fax: | 6318495824 |