Individual
TIMOTHY A MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1656 CHAMPLIN AVE, NEW HARTFORD, NY 13413-1068
(315) 624-6068
(315) 624-6308
Mailing address
8636 STANDISH RD, ROME, NY 13440-1441
(315) 339-3302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
173917
NY
207Q00000X
Family Medicine Physician
173917
NY
Other
Enumeration date
05/23/2005
Last updated
09/11/2025
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