TIMOTHY DONNELLY
NPI 1740364215
Physician Assistant in Glenville, NY

Active since October 24, 2006
79 GLENRIDGE RD, GLENVILLE, NY 12302(518) 952-8142 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Donnelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY DONNELLY (NPI 1740364215) is an individual physician assistant in Glenville, New York, licensed in New York (000303) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740364215
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY DONNELLY
Location Address79 GLENRIDGE RDGlenville, NY 12302-4523
Mailing AddressPo Box 31094Hartford, CT 06150-1094
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1740364215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 000303
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

79 GLENRIDGE RD, Glenville, NY 12302

Other Identifiers 1

Medicare UPINR70823NY

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Nurse Practitioner (Family)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Physician Assistant
79 GLENRIDGE RD
GLENVILLE, NY 12302
Counselor (Addiction (Substance Use Disorder))
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302
Nurse Practitioner (Family)
79 GLENRIDGE RD
GLENVILLE, NY 12302
Registered Nurse
79 GLENRIDGE RD
GLENVILLE, NY 12302
Registered Nurse
79 GLENRIDGE RD, COTTAGE #1
GLENVILLE, NY 12302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740364215, enumerated as an "individual" on October 24, 2006.

The provider is located at 79 GLENRIDGE RD GLENVILLE, NY 12302 and the phone number is (518) 952-8142.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.