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Organization

DAVID M TINKELMAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MARTIN TINKELMAN M.D. (PRESIDENT)
(585) 637-0060
Entity
Organization

Contact information

Practice address
6 SWEDEN LN, BROCKPORT, NY 14420-2516
(585) 637-0060
(585) 637-2941
Mailing address
6 SWEDEN LN, BROCKPORT, NY 14420-2516
(585) 637-0060
(585) 637-2941

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000529464002
BLUE SHIELD OF WNY
NY
05
00507488
NY
01
201002460
CHAMPUS
NY
01
2600363
GHI
NY
01
EXCELLLUS
P020133341
NY
01
MD134N
PREFERRED CARE
NY
01
P010133341
BLUE CHOICE
NY
01
P020133341
BLUE SHIELD ROCHESTER
NY
Enumeration date
03/01/2006
Last updated
11/11/2009
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