Provider Demographics
NPI:1003097742
Name:CRAMER, TIMOTHY ARTHUR
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ARTHUR
Last Name:CRAMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 SOUTH LN
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-1392
Mailing Address - Country:US
Mailing Address - Phone:716-462-8564
Mailing Address - Fax:
Practice Address - Street 1:1202 PINE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1918
Practice Address - Country:US
Practice Address - Phone:716-285-0286
Practice Address - Fax:716-285-0262
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2025-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist