Dr TIMOTHY R DACKOW is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC
101 HOSPITAL RD
PATCHOGUE
NY
117724870
Tel: 6316547359
| Npi | 1144700741 |
| Pac Id | 6406107002 |
| Professional Enrollment Id | I20180920002132 |
| Last Name | DACKOW |
| First Name | TIMOTHY |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC |
| Group Practice Pac Id | 9739090051 |
| Number Of Group Practice Members | 73 |
| Line 1 Street Address | 101 HOSPITAL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 117724870 |
| Phone Number | 6316547359 |
| Hospital Affiliation Ccn 1 | 330141 |
| Hospital Affiliation Lbn 1 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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