Individual
TIMOTHY D FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, 5TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-9335
(315) 464-9338
Mailing address
90 PRESIDENTIAL PLZ, 5TH FLOOR, SYRACUSE, NY 13202-2240
(315) 464-9335
(315) 464-9338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
205553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01742754
—
NY
Enumeration date
09/27/2005
Last updated
10/20/2010
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