Individual
TIMOTHY SEAN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
449 MAIN ST, ONEONTA, NY 13820-2028
(607) 432-5680
(607) 432-5575
Mailing address
PO BOX 100707, ATLANTA, GA 30384-0707
(786) 594-6880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218885
NY
208600000X
Surgery Physician
Primary
ME161759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03157782
—
NY
Enumeration date
09/15/2006
Last updated
04/08/2024
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