Individual
DR. TIMOTHY JOSEPH VINCIGUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
(518) 262-5291
Mailing address
391 MYRTLE AVE STE 200, ALBANY, NY 12208-3835
(518) 262-4942
(518) 262-5291
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
119640-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00815009
—
NY
Enumeration date
09/27/2005
Last updated
04/29/2019
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