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Contact Information

TIMOTHY J FISHER, PA-C
1 ATWELL RD
COOPERSTOWN, NY13326
 Phone: 607-547-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY J FISHER · (Male)

NPI # 1306156674
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/20/2010
Last updated 11/07/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 018875
  • NY Medicaid 04339740
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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