Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 155753 | NY |
NPI | 1023128238 |
---|---|
Provider Name | Dr. Thomas James Foels |
First Address | East Amherst, NY 14051-1561 |
Second Address | East Amherst, NY 14051-1561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |