Individual
TIMOTHY D DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2365 CLINTON AVE S, SUITE 200, ROCHESTER, NY 14618-2645
(585) 758-5700
(585) 758-1293
Mailing address
601 ELMWOOD AVE, BOX 629, ROCHESTER, NY 14642-0001
(585) 758-5700
(585) 758-1293
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
217266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000526132002
COMMUNITY BLUE
NY
01
—
0103706
GHI
NY
05
—
02085101
—
NY
01
—
040017654
RAIL ROAD MEDICARE
NY
01
—
7549006
AETNA
NY
01
—
G0182467590
BLUE CHOICE
NY
01
—
MDH274
PREFERRED CARE
NY
01
—
P010217266
BLUE SHIELD
NY
Enumeration date
07/07/2006
Last updated
07/05/2023
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