Bruce Michael Small
Geriatric Medicine
220 Richmond Ave
Batavia
, New York 14020-1227
Bruce Michael Small
Geriatric Medicine
220 Richmond Ave
Batavia
, New York 14020-1227
(716) 759-8459
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Bruce Michael Small
- 10540 Stoneway
- Clarence, NY
- Zip : 14031-2100
- Phone : (716) 759-8459
Second Address
- Bruce Michael Small
- 220 Richmond Ave
- Batavia, NY
- Zip : 14020-1227
- Fax : (585) 345-0211
- Phone : (585) 345-2042
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 128047 | NY |
National Provider Identifier
| NPI | 1164533642 |
|---|---|
| Provider Name | Bruce Michael Small |
| First Address | Clarence, NY 14031-2100 |
| Second Address | Batavia, NY 14020-1227 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00650055 | (05) | NY |
| B36123 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.