Individual
THOMAS J BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 634-8800
(716) 650-9622
Mailing address
PO BOX 1688, BUFFALO, NY 14240-1688
(716) 634-8800
(716) 650-9622
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
231159-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02628339
—
NY
Enumeration date
09/21/2006
Last updated
11/04/2009
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