Individual
DR. TIMOTHY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 NORTHERN BLVD, ALBANY, NY 12204-1004
(518) 471-3221
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008035677
MO
208M00000X
Hospitalist Physician
Primary
279994
NY
Other
Enumeration date
07/12/2007
Last updated
03/17/2018
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