Individual
MARTHA E TYMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 VETERANS AVE, BEHAVIORAL HEALTH ROOM 511, BATH, NY 14810-0810
(607) 664-4300
(607) 664-4320
Mailing address
76 VETERANS AVE, BEHAVIORAL HEALTH ROOM 511, BATH, NY 14810-0810
(607) 664-4300
(607) 664-4320
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
236941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02709979
—
NY
Enumeration date
05/31/2006
Last updated
05/21/2012
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