National Provider Identifier

Autumn Timothy

Autumn Timothy is listed in the NPPES registry with a primary specialty of Specialist in Mount Morris, NY and a listed phone number of (585) 658-4023.

NPI 1245666163Mount Morris, NYSpecialist

Profile Overview

NPI
1245666163
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 24, 2013
Last Updated
September 24, 2013

Practice Location

  • 5871 Groveland Station RD
  • Mount Morris, NY 14510-9767

Phone: (585) 658-4023

Mailing Address

  • 2802 Retsof Avenue
  • Retsof, NY 14539

Specialties

  • Specialist (174400000X)
Full Record
NPI
1245666163
Entity Type
Individual
Last Name
Timothy
First Name
Autumn
Mailing Street Address
2802 Retsof Avenue
Mailing City
Retsof
Mailing State
NY
Mailing ZIP Code
14539
Mailing Country
US
Mailing Phone
(585) 322-3864
Practice Street Address
5871 Groveland Station RD
Practice City
Mount Morris
Practice State
NY
Practice ZIP Code
14510-9767
Practice Country
US
Practice Phone
(585) 658-4023
Enumeration Date
September 24, 2013
Last Updated
September 24, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)