Individual
TIMOTHY HAYDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL - EMERGENCY DEPARTMENT, MOUNT KISCO, NY 10549-3417
(914) 666-1254
(914) 666-1931
Mailing address
400 E MAIN ST, NORTHERN WESTCHETSER HOSPITAL, ATTN MEDICAL AFFAIRS, MOUNT KISCO, NY 10549-3417
(914) 666-1254
(914) 666-1931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
139961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2516230
AETNA HMO
—
01
—
4375965
AETNA PPO
—
Enumeration date
03/07/2006
Last updated
12/11/2007
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