Provider Demographics
NPI:1730199084
Name:NAAB, TIMOTHY PAUL (PT DPT)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PAUL
Last Name:NAAB
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5165 THOMPSON ROAD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031
Mailing Address - Country:US
Mailing Address - Phone:716-741-9432
Mailing Address - Fax:
Practice Address - Street 1:3768 SENECA STREET
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224
Practice Address - Country:US
Practice Address - Phone:716-674-7780
Practice Address - Fax:716-674-7781
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02643812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000627795001OtherBLUE CROSS
NY9312712OtherINDEPENDENT HEALTH
NY00011173701OtherUNIVERA
NY000627795001OtherBLUE CROSS