Individual
TIMOTHY M CREAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5305
(315) 492-5320
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
153694
NY
208M00000X
Hospitalist Physician
Primary
153694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760009
—
NY
Enumeration date
01/12/2006
Last updated
09/17/2008
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