Individual
MR. FREDERICK R DOWNS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4174 ROUTE 98, NORTH JAVA, NY 14113
(585) 535-0051
(585) 535-0052
Mailing address
PO BOX 208, NORTH JAVA, NY 14113
(585) 535-0051
(585) 535-0052
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
109864
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020142301
UNIVERA
—
01
—
000504541003
COMMUNITY BLUE
—
05
—
00462280
—
NY
Enumeration date
02/06/2006
Last updated
07/08/2007
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