Mathis, Timothy A

Mathis, Timothy A is an individual health care provider with primary practice located at 1656 Champlin Ave , New Hartford NY 13413-1068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mathis, Timothy A can be contacted via phone (315) 624-6068.

Contact Information

Primary practice address
1656 Champlin Ave New Hartford NY 13413-1068
Phone: (315) 624-6068
Fax: (315) 624-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 173917 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 173917 New York

Profile Details

NPI number 1790788867
LBN Legal business name Mathis, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2007 - 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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