Individual
DR. TIMOTHY JOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3095
Mailing address
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101260038
VA
207P00000X
Emergency Medicine Physician
2016-01061
NC
207P00000X
Emergency Medicine Physician
27085
WV
207P00000X
Emergency Medicine Physician
Primary
A149206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63336
—
NY
Enumeration date
05/15/2013
Last updated
09/14/2017
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