Provider Demographics
NPI:1750472452
Name:FAILING, TIMOTHY ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ALAN
Last Name:FAILING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W STATE ST
Mailing Address - Street 2:STE 2
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-2239
Mailing Address - Country:US
Mailing Address - Phone:315-823-4414
Mailing Address - Fax:
Practice Address - Street 1:501 W STATE ST
Practice Address - Street 2:STE 2
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-2239
Practice Address - Country:US
Practice Address - Phone:315-866-3646
Practice Address - Fax:315-866-6400
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007-584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00037199OtherRAILROAD MEDICARE
NYP00037199OtherRAILROAD MEDICARE
NYU47608Medicare UPIN