Haley, Timothy

Haley, Timothy is an individual health care provider with primary practice located at 415 Tremont St , North Tonawanda NY 14120-6135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Haley, Timothy can be contacted via phone (716) 690-2028.

Contact Information

Primary practice address
415 Tremont St North Tonawanda NY 14120-6135
Phone: (716) 690-2028
Fax: (716) 690-2398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 216793 New York

Profile Details

NPI number 1174588008
LBN Legal business name Haley, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 18th, 2011 - about 15 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 1174588008 NPPES
New York MEDICAID 02104447
New York Other 14-1005
New York Other 00025112602
New York Other 000526057005

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