Timothy R Dackow (NPI# 1144700741, PAC ID# 6406107002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144700741 |
| PAC ID by PECOS | 6406107002 |
| Professional Enrollment ID | I20180920002132 |
| Full Name | Timothy R Dackow |
| Organization Legal Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address |
101 Hospital Rd Patchogue NY 11772-4870 |
| Phone Number | 6316547359 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739090051 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Hospital Rd, Patchogue, NY 11772-4870 | 6316547359 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Organization Legal Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly P Barnaby | Family Medicine | Brookhaven Memorial Hospital Medical Center | 515 Bellport Ave, Bellport, NY 11713-1711 |
| Maria A Curcio | Registered Dietitian Or Nutrition Professional | Brookhaven Memorial Hospital Medical Center | 33 Medford Ave, East Patchogue, NY 11772-1222 |
| Felix James Grucci Iii | Psychiatry | Brookhaven Memorial Hospital Medical Center | 550 Montauk Hwy, Shirley, NY 11967-2114 |
| Setlidz Saint-louis | Nurse Practitioner | Brookhaven Memorial Hospital Medical Center | 300 Kennedy Dr, Hauppauge, NY 11788-4013 |
| Colleen A Jackson | Registered Dietitian Or Nutrition Professional | Brookhaven Memorial Hospital Medical Center | 55 Medford Ave, Patchogue, NY 11772-1229 |
| Lynn C Kramer | Physician Assistant | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Shushan Hovanesian | Psychiatry | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Alfred G Lieffrig | General Surgery | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Eve Wilson | Physician Assistant | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Rise Armel | Physician Assistant | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Street Address |
101 HOSPITAL RD |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-4870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saba Rahman | Hospitalist | Hospitalist Medicine Physician of New York Patchogue PC | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Ahad Ashraf | Hospitalist | Hospitalist Medicine Physician of New York Patchogue PC | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Manoj K Trehan | Infectious Disease | 101 Hospital Rd, Patchogue, NY 11772-4870 | |
| Lynn C Kramer | Physician Assistant | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Carl S Goodman | Emergency Medicine | Progressive Emergency Physicians Pllc | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Shushan Hovanesian | Psychiatry | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Alfred G Lieffrig | General Surgery | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Salma F Syed | Hospitalist | Hospitalist Medicine Physician of New York Patchogue PC | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Zar Chi Win | Hospitalist | Hospitalist Medicine Physician of New York Patchogue PC | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Eve Wilson | Physician Assistant | Brookhaven Memorial Hospital Medical Center | 101 Hospital Rd, Patchogue, NY 11772-4870 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PATCHOGUE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy R Dackow.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.