Provider Demographics
NPI:1568889129
Name:HARKCOM, TIMOTHY CRAIG (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CRAIG
Last Name:HARKCOM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-922-1900
Mailing Address - Fax:585-922-1002
Practice Address - Street 1:1561 LONG POND RD STE 130
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4136
Practice Address - Country:US
Practice Address - Phone:585-723-7765
Practice Address - Fax:585-723-7735
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDO034544207ZP0102X
CT69675207ZP0102X
NY323461207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology