Individual
TIMOTHY JAMES WALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
1555 LONG POND ROAD, DEPARTMENT OF MEDICINE, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05022151
—
NY
Enumeration date
10/30/2017
Last updated
05/11/2021
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