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Organization
TIM CANTY MD PLLC
Active
Organization
TIM CANTY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM CANTY M.D. (OWNER)
(917) 524-7246
Entity
Organization
Contact information
Practice address
101 BROADWAY, B02, BROOKLYN, NY 11249-8663
(917) 524-7246
Mailing address
11 BLEECKER ST, 3, NEW YORK, NY 10012-2402
(617) 642-0141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
237504
NY
Other
Enumeration date
10/27/2011
Last updated
01/03/2012
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