Canty, Timothy J
Canty, Timothy J is an individual health care provider with primary practice located at 149 Madison Ave Rm 702 , New York NY 10016-6713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Canty, Timothy J can be contacted via phone (917) 524-7246.Contact Information
Primary practice address
149 Madison Ave Rm 702
New York NY 10016-6713
Phone: (917) 524-7246
Fax: (718) 509-6961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 215688 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 215688 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 237504 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 237504 | New York |
Profile Details
| NPI number | 1043201452 |
|---|---|
| LBN Legal business name | Canty, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Apr 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043201452 | NPPES |
| Massachusetts | Other | J28261 | BCBS MA |
| Massachusetts | MEDICAID | 2090031 | BCBS MA |
| Massachusetts | Other | 466528 | BCBS MA |
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