Dr. Timothy G Cook, M.D.
Family Medicine in Granville, NY. Individual provider (NPI-1).
NPI number1720071095
StatusActive
Last updated in NPPESJan 8, 2024
Details
- NPI
- 1720071095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy G Cook
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2005
- Certification date
- Jan 8, 2024
- Last updated
- Jan 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 320347 | NY | Yes |
| 173000000X | Legal Medicine | 042-0009268 | VT |
Practice location
79 North StGranville, NY 12832-1137
Phone 518-642-0612 · Fax 518-642-0693
Mailing address
100 Park StreetGlens Falls Hospital - Credentialing
Glens Falls, NY 12801-4413
Phone 518-926-6992 · Fax 802-775-3058
Other practice locations
35 Gilbert Street
Cambridge Medical Center
Cambridge, NY 12816-2618
Cambridge Medical Center
Cambridge, NY 12816-2618
Phone 518-677-3961 · Fax 518-677-3180
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