Individual
DR. TIMOTHY JAMES HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
350 NEW CAMPUS DR, BROCKPORT, NY 14420-2914
(585) 395-5357
Mailing address
30 WIND MILL RD, PITTSFORD, NY 14534-3135
(585) 662-3010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000545-1
NY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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