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Individual
TIMOTHY MICHAEL ENRIGHT
Active
Individual
TIMOTHY MICHAEL ENRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014597-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115159FC
PREFERRED CARE (MVP) ROCH
NY
01
—
7302466
AETNA
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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