| 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 |