National Provider Identifier
Timothy John Didas
Timothy John Didas is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Wellsville, NY and a listed phone number of (585) 593-6300.
Profile Overview
- NPI
- 1083494959
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 29, 2023
- Last Updated
- September 29, 2023
Practice Location
- 4220 State Route 417 W
- Wellsville, NY 14895-9332
Phone: (585) 593-6300
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1083494959
- Entity Type
- Individual
- Last Name
- Didas
- First Name
- Timothy
- Middle Name
- John
- Mailing Street Address
- 4220 State Route 417 W
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-9332
- Mailing Country
- US
- Mailing Phone
- (585) 593-6300
- Practice Street Address
- 4220 State Route 417 W
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-9332
- Practice Country
- US
- Practice Phone
- (585) 593-6300
- Practice Fax
- (585) 593-7071
- Enumeration Date
- September 29, 2023
- Last Updated
- September 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)