Ryan, Timothy J

Ryan, Timothy J is an individual health care provider with primary practice located at 1991 Balsley Rd , Seneca Falls NY 13148-9714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ryan, Timothy J can be contacted via phone (315) 539-0237.

Contact Information

Primary practice address
1991 Balsley Rd Seneca Falls NY 13148-9714
Fax: (315) 539-0940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1319051 New York

Profile Details

NPI number 1356337000
LBN Legal business name Ryan, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Dec 5th, 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 1356337000 NPPES
New York MEDICAID 00446722

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