Individual
TIMOTHY P ENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 IRVING AVE, SUITE 311, SYRACUSE, NY 13210-1603
(315) 464-5533
(315) 464-5579
Mailing address
725 IRVING AVE, SUITE 311, SYRACUSE, NY 13210-1603
(315) 464-5533
(315) 464-5579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
171612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745137
—
NY
Enumeration date
06/25/2006
Last updated
05/19/2010
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