Roche, Timothy S
Roche, Timothy S is an individual health care provider with primary practice located at 142 Clinton St Clinton Street Family Care Center, Binghamton NY 13905-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roche, Timothy S can be contacted via phone (607) 762-2660.Contact Information
Primary practice address
142 Clinton St Clinton Street Family Care Center
Binghamton NY 13905-2212
Phone: (607) 762-2660
Fax: (607) 762-2055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 225102 | New York |
Profile Details
| NPI number | 1912993460 |
|---|---|
| LBN Legal business name | Roche, Timothy S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Nov 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912993460 | NPPES |
| New York | MEDICAID | 02282011 |
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