Nolan, Timothy Leo

Nolan, Timothy Leo is an individual health care provider with primary practice located at 2655 Ridgeway Ave Suite 480, Rochester NY 14626-4296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nolan, Timothy Leo can be contacted via phone (585) 865-8210.

Contact Information

Primary practice address
2655 Ridgeway Ave Suite 480 Rochester NY 14626-4296
Phone: (585) 865-8210
Fax: (585) 865-7597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 149002 New York

Profile Details

NPI number 1205808870
LBN Legal business name Nolan, Timothy Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 18th, 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 1205808870 NPPES
New York MEDICAID 01015085

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