Provider Demographics
NPI:1275561730
Name:HARRINGTON, TIMOTHY FRANCIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:FRANCIS
Last Name:HARRINGTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2865 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3132
Mailing Address - Country:US
Mailing Address - Phone:716-894-4110
Mailing Address - Fax:716-894-0456
Practice Address - Street 1:2865 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3132
Practice Address - Country:US
Practice Address - Phone:716-894-4110
Practice Address - Fax:716-894-0456
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY106376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB35990Medicare UPIN
NY062581Medicare ID - Type Unspecified