Organization
BIG FLATS FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RODGERS (PRESIDENT)
(607) 562-8901
Entity
Organization
Contact information
Practice address
455 MAPLE ST, SUITE 1, BIG FLATS, NY 14814-9701
(607) 562-8901
(607) 562-7443
Mailing address
455 MAPLE ST, SUITE 1, BIG FLATS, NY 14814-9701
(607) 562-8901
(607) 562-7443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
173351-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01067990
—
NY
Enumeration date
11/03/2006
Last updated
08/22/2020
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