National Provider Identifier

Timothy Hare

Timothy Hare is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 310-9994.

NPI 1619503612Buffalo, NYAthletic Trainer

Profile Overview

NPI
1619503612
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 21, 2020
Last Updated
March 21, 2020

Practice Location

  • 170 Audubon Dr
  • Buffalo, NY 14226-4045

Phone: (716) 310-9994

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1619503612
Entity Type
Individual
Last Name
Hare
First Name
Timothy
Mailing Street Address
170 Audubon Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14226-4045
Mailing Country
US
Practice Street Address
170 Audubon Dr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14226-4045
Practice Country
US
Practice Phone
(716) 310-9994
Enumeration Date
March 21, 2020
Last Updated
March 21, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
March 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)