National Provider Identifier

Timothy Haley, M.D.

Timothy Haley, M.D. is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician in North Tonawanda, NY and a listed phone number of (716) 690-2028.

NPI 1174588008North Tonawanda, NYColon & Rectal Surgery Physician

Profile Overview

NPI
1174588008
Provider Type
Individual
Primary Specialty
Colon & Rectal Surgery Physician
Enumeration Date
April 20, 2006
Last Updated
January 18, 2011

Practice Location

  • 415 Tremont St
  • North Tonawanda, NY 14120-6135

Phone: (716) 690-2028

Specialties

  • Colon & Rectal Surgery Physician (208C00000X)
Full Record
NPI
1174588008
Entity Type
Individual
Last Name
Haley
First Name
Timothy
Credential
M.D.
Mailing Street Address
415 Tremont St
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-6135
Mailing Country
US
Mailing Phone
(716) 690-2028
Mailing Fax
(716) 690-2398
Practice Street Address
415 Tremont St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-6135
Practice Country
US
Practice Phone
(716) 690-2028
Practice Fax
(716) 690-2398
Enumeration Date
April 20, 2006
Last Updated
January 18, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Colon & Rectal Surgery Physician (208C00000X)
Other Identifiers
02104447 (NY), 14-1005 (NY, Independent Health), 00025112602 (NY, Univera), 000526057005 (NY, Blue Cross Blue Shield)