Individual
REXFORD LEE THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-0851
(716) 712-0853
Mailing address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-0851
(716) 712-0853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
191725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026031604
UNIVERA
NY
01
—
000525722005
BC/BS
NY
05
—
01977417
—
NY
01
—
1710862
IHA
NY
01
—
457959
WELLCARE
NY
Enumeration date
09/20/2005
Last updated
07/23/2014
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