Gorman, Timothy Alan

Gorman, Timothy Alan is an individual health care provider with primary practice located at 138 E Main St , Westfield NY 14787-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gorman, Timothy Alan can be contacted via phone (716) 326-4678.

Contact Information

Primary practice address
138 E Main St Westfield NY 14787-1121
Phone: (716) 326-4678
Fax: (716) 326-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 168596 New York

Profile Details

NPI number 1942275441
LBN Legal business name Gorman, Timothy Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Sep 28th, 2009 - about 17 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 1942275441 NPPES
New York MEDICAID 01032475

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