Dr. Timothy Vernon Hagy
Emergency Medical Services
156 West Ave
Brockport
, New York 14420-1229
Dr. Timothy Vernon Hagy
Emergency Medical Services
156 West Ave
Brockport
, New York 14420-1229
(585) 395-6095
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Timothy Vernon Hagy
- 156 West Ave
- Brockport, NY
- Zip : 14420-1229
- Phone : (585) 395-6095
Second Address
- Dr. Timothy Vernon Hagy
- 156 West Ave
- Brockport, NY
- Zip : 14420-1229
- Phone : (585) 395-6095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 169821 | NY |
National Provider Identifier
| NPI | 1003906363 |
|---|---|
| Provider Name | Dr. Timothy Vernon Hagy |
| First Address | Brockport, NY 14420-1229 |
| Second Address | Brockport, NY 14420-1229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.