| Doctor Name: | DR. TIMOTHY JAMES LEGG |
| NPI Number: | 1063427417 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, NPP |
| License Number: | SP-006515-H |
| Business Practice Address: | 32w State St 212 Binghamton, NY - 139012335 |
| Business Phone Number: | 6077231300 |
| Business Fax Number: | 6077231300 |
| Mailing Address: | 32w State St 212, BINGHAMTON |
| State: | NY |
| Postal Code: | 139012335 |
| Phone Number: | 6077231300 |
| Fax Number: | 6077231300 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | SP-006515-H |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |