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Individual

TIMOTHY RYDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 EMERALD PL, ROCK HILL, NY 12775-6049
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
224711
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02280124
NY
Enumeration date
07/26/2005
Last updated
10/15/2020
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