Clark, Timothy

Clark, Timothy is an individual health care provider with primary practice located at 4201 Buffalo Road , North Chili NY 14514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Timothy can be contacted via phone (585) 594-5995.

Contact Information

Primary practice address
4201 Buffalo Road North Chili NY 14514
Phone: (585) 594-5995
Fax: (585) 594-5425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010708 New York

Profile Details

NPI number 1629027974
LBN Legal business name Clark, Timothy
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jan 11th, 2023 - about 3 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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