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Individual

TIMOTHY V MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4040
(716) 887-5090

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
236504
NY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
236504
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027260801
UNIVERA
NY
01
000528889001
BLUE CROSS AND BLUE SHIELD
NY
05
02683796
NY
01
0912967
INDEPENDENT HEALTH
NY
01
236504
NEW YORK STATE WORKERS COMPENSATION
NY
Enumeration date
07/29/2005
Last updated
02/15/2018
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