Individual
DR. TIMOTHY LEE FAULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3 MAIN ST, HOOSICK FALLS, NY 12090-2001
(518) 686-0286
(518) 686-1412
Mailing address
3 MAIN ST, P.O. BOX 579, HOOSICK FALLS, NY 12090-2001
(518) 686-0286
(518) 686-1412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090715
—
NY
Enumeration date
11/16/2005
Last updated
01/05/2016
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