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Contact Information

TIMOTHY HALEY, MD
415 TREMONT ST
NORTH TONAWANDA, NY14120-6135
 Phone: 716-690-2028
 Fax: 716-690-2398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY HALEY · (Male)

NPI Number 1174588008
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 01/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 216793
  • NY Medicaid 02104447
  • NY Other 000526057005 BLUE CROSS BLUE SHIELD
  • NY Other 14-1005 INDEPENDENT HEALTH
  • NY Other 00025112602 UNIVERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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