Damron, Timothy A

Damron, Timothy A is an individual health care provider with primary practice located at 6620 Fly Road Ste 200, East Syracuse NY 13057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Damron, Timothy A can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Road Ste 200 East Syracuse NY 13057
Phone: (315) 464-4472
Fax: (315) 464-5221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 196389 New York
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 196389 New York

Profile Details

NPI number 1699770602
LBN Legal business name Damron, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 30th, 2009 - 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 1699770602 NPPES
New York MEDICAID 01478495

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