Page, Timothy Edward

Page, Timothy Edward is an sole proprietor health care provider with primary practice located at 2209 Genesee St , Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Page, Timothy Edward can be contacted via phone (315) 798-8100.

Contact Information

Primary practice address
2209 Genesee St Utica NY 13501-5930
Fax: (315) 734-3158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 178443-1 New York

Profile Details

NPI number 1588604623
LBN Legal business name Page, Timothy Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jul 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588604623 NPPES
New York MEDICAID 01300563

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