Thomas C Small Md Pc | |
6511 Main St Williamsvilles NY 14221-5835 | |
(716) 626-4878 | |
(716) 626-7609 |
Full Name | Thomas C Small Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 6511 Main St, Williamsvilles, New York |
Authorized Official Name and Position | Thomas C Small (OWNER SOLE PROPRIETOR) |
Authorized Official Contact | 7166264878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas C Small Md Pc 2821 Wehrle Dr Suite 1 Williamsville NY 14221-7386 Ph: (716) 626-4878 | Thomas C Small Md Pc 6511 Main St Williamsvilles NY 14221-5835 Ph: (716) 626-4878 |
NPI Number | 1689879132 |
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Provider Enumeration Date | 06/15/2007 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689879132 | NPI | - | NPPES |
00738138 | Medicaid | NY | |
048804 | Other | NY | INDEPENDENT HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A1493801 (New York) | Primary |