National Provider Identifier

Timothy Blandford

Timothy Blandford is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Elmira, NY and a listed phone number of (607) 733-7661.

NPI 1831621572Elmira, NYCommunity/Behavioral Health Agency

Profile Overview

NPI
1831621572
Provider Type
Individual
Primary Specialty
Community/Behavioral Health Agency
Enumeration Date
March 31, 2017
Last Updated
March 31, 2017

Practice Location

  • 1149 Sullivan St
  • Elmira, NY 14901

Phone: (607) 733-7661

Mailing Address

  • 1149 Sullivan St
  • Elmira, NY 14901-1670

Specialties

  • Community/Behavioral Health Agency (251S00000X)
Full Record
NPI
1831621572
Entity Type
Individual
Last Name
Blandford
First Name
Timothy
Mailing Street Address
1149 Sullivan St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1670
Mailing Country
US
Mailing Phone
(607) 733-7661
Mailing Fax
(607) 733-7675
Practice Street Address
1149 Sullivan St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 733-7661
Practice Fax
(607) 733-7675
Enumeration Date
March 31, 2017
Last Updated
March 31, 2017
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Behavioral Health Agency (251S00000X)