Provider Demographics
NPI:1326041989
Name:GARRAND, TIMOTHY JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOEL
Last Name:GARRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 CORNELIA ST
Mailing Address - Street 2:STE 101
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2318
Mailing Address - Country:US
Mailing Address - Phone:518-562-7990
Mailing Address - Fax:518-562-7991
Practice Address - Street 1:210 CORNELIA ST
Practice Address - Street 2:STE 101
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2318
Practice Address - Country:US
Practice Address - Phone:518-562-7990
Practice Address - Fax:518-562-7991
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1641201207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF37254Medicare UPIN