Brown, Timothy Gerard

Brown, Timothy Gerard is an individual health care provider with primary practice located at 138 N. Court St , Wampsville NY 13163. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Brown, Timothy Gerard can be contacted via phone (315) 366-2327.

Contact Information

Primary practice address
138 N. Court St Wampsville NY 13163
Phone: (315) 366-2327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1659529949
LBN Legal business name Brown, Timothy Gerard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2008
Last updated Aug 29th, 2008 - 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 1659529949 NPPES
New York MEDICAID 00569860

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