Provider Demographics
NPI:1942297080
Name:TIMMINS, PATRICK F III (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:F
Last Name:TIMMINS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:319 S MANNING BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1742
Mailing Address - Country:US
Mailing Address - Phone:518-458-1390
Mailing Address - Fax:518-459-3271
Practice Address - Street 1:319 S MANNING BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1742
Practice Address - Country:US
Practice Address - Phone:518-458-1390
Practice Address - Fax:518-459-3271
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2011-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY202700207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01678817Medicaid
F92433Medicare UPIN
NYRB3867Medicare PIN