| 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 |
|---|---|
| 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 |
|---|---|
| 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 |