Dr. Timothy Vernon Hagy, M.D.
Emergency Medicine, Emergency Medical Services in Brockport, NY. Individual provider (NPI-1).
NPI number1003906363
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003906363
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Vernon Hagy
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 169821 | NY | Yes |
Practice location
156 West AveBrockport, NY 14420-1229
Phone 585-395-6095
Mailing address
156 West AveBrockport, NY 14420-1229
Phone 585-395-6095
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