Individual
REXFORD LEE THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
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
Update your record
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