Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 237160 | NY |
NPI | 1154382976 |
---|---|
Provider Name | Dr. Rufus Johnston Timberlake |
First Address | Rochester, NY 14618-2301 |
Second Address | Rochester, NY 14620-4645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/07/2007 |