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Individual

TIMOTHY SHEAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
446 E WATER STREET, ELMIRA, NY 14901-3411
(607) 734-6006
(607) 734-4036
Mailing address
446 E WATER STREET, ELMIRA, NY 14901-3411
(607) 734-6006
(607) 734-4036

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0029891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00421352
NY
Enumeration date
11/16/2005
Last updated
09/30/2011
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