Individual
TIMOTHY MIHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
357 GENESEE ST, SUITE # 2, ONEIDA, NY 13421-2658
(315) 363-2123
(315) 363-2549
Mailing address
357 GENESEE ST, SUITE # 2, ONEIDA, NY 13421-2658
(315) 363-2123
(315) 363-2549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400353781
MEDICARE PTAN
NY
Enumeration date
07/04/2006
Last updated
01/13/2017
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