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THOMAS E. DEGRAVE DOLLC NPI 1790816387


NPI Information

NPI: 1790816387
Provider Name: THOMAS E. DEGRAVE, DO,LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4040 CLINTON ST
WEST SENECA, NY
ZIP 14224
Phone: (716) 675-1928
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THOMAS E. DEGRAVE, DO,LLC is a family medicine in West Seneca, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THOMAS E. DEGRAVE, DO,LLC NPI is 1790816387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4040 CLINTON ST
WEST SENECA, NY
ZIP 14224-519
Phone: (716) 675-1928
Fax: (716) 662-5226

The provider's authorized official is Thomas Edward Degrave .
The authorized official title is Chief Operating Officer and has the following contact phone number (716) 675-1928.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine173319NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101789519MEDICAIDNEW YORK
20105938OTHERNEW YORKINDEPENDENT HEALTH
300010043003OTHERNEW YORKUNIVERA
4000511109002OTHERNEW YORKBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.