Board, Timothy Gerard

Board, Timothy Gerard is an individual health care provider with primary practice located at 454 Maple Ave , Saratoga Springs NY 12866-5532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Board, Timothy Gerard can be contacted via phone (518) 587-1141.

Contact Information

Primary practice address
454 Maple Ave Saratoga Springs NY 12866-5532
Phone: (518) 587-1141
Fax: (518) 587-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 004631 New York

Profile Details

NPI number 1699796078
LBN Legal business name Board, Timothy Gerard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 18th, 2012 - about 13 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 1699796078 NPPES
New York Other 709221 MVP
New York Other 970016493 MVP
New York Other 000405957003 MVP
New York Other 050510000097 MVP

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