Nicholson, Timothy

Nicholson, Timothy is an individual health care provider with primary practice located at 1184 State Route 50 , Burnt Hills NY 12019-1923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nicholson, Timothy can be contacted via phone (518) 384-1281.

Contact Information

Primary practice address
1184 State Route 50 Burnt Hills NY 12019-1923
Phone: (518) 384-1281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 217445 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217445 New York

Profile Details

NPI number 1013091941
LBN Legal business name Nicholson, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 8th, 2013 - about 11 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 1013091941 NPPES
New York MEDICAID 02349659

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