Ford, Timothy D

Ford, Timothy D is an individual health care provider with primary practice located at 90 Presidential Plz 5Th Floor, Syracuse NY 13202-2240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ford, Timothy D can be contacted via phone (315) 464-9335.

Contact Information

Primary practice address
90 Presidential Plz 5Th Floor Syracuse NY 13202-2240
Fax: (315) 464-9338
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 205553 New York

Profile Details

NPI number 1508852286
LBN Legal business name Ford, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 20th, 2010 - about 14 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 1508852286 NPPES
New York MEDICAID 01742754

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