Cook, Timothy G

Cook, Timothy G is an individual health care provider with primary practice located at 79 North St , Granville NY 12832-1137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cook, Timothy G can be contacted via phone (518) 642-0612.

Contact Information

Primary practice address
79 North St Granville NY 12832-1137
Phone: (518) 642-0612
Fax: (518) 642-0693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 320347 New York
Other Service Providers / Legal Medicine 173000000X 042-0009268 Vermont

Profile Details

NPI number 1720071095
LBN Legal business name Cook, Timothy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jan 8th, 2024 - about last year

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 1720071095 NPPES
Vermont Other 080177542 RAILROAD MEDICARE
Vermont Other 49970 RAILROAD MEDICARE
Vermont MEDICAID OVN2470 RAILROAD MEDICARE
Vermont Other 267562 RAILROAD MEDICARE
Vermont Other 08066 RAILROAD MEDICARE
Vermont Other 58435 RAILROAD MEDICARE

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