Search › New York › 363AM0700X
Timothy Gilliam, PA-C
NPI 1265182810 · on the registry since 2022
Practice
- Address
- 1571 Washington Street
Suite 201
Watertown, NY 13601 - Phone
- (315) 782-1650
- Fax
- (315) 788-8547
- Organisation at this address
- Watertown Pediatrics,Pc
North Country Orthopaedic Group Pc
North Country Orthopaedic Ambulatory Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York