Individual
TIMOTHY HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 TREMONT ST, NORTH TONAWANDA, NY 14120-6135
(716) 690-2028
(716) 690-2398
Mailing address
415 TREMONT ST, NORTH TONAWANDA, NY 14120-6135
(716) 690-2028
(716) 690-2398
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
216793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025112602
UNIVERA
NY
01
—
000526057005
BLUE CROSS BLUE SHIELD
NY
05
—
02104447
—
NY
01
—
14-1005
INDEPENDENT HEALTH
NY
Enumeration date
04/20/2006
Last updated
01/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us