Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 0426591 | NY |
NPI | 1518033240 |
---|---|
Provider Name | Dr. Thomas Kevin Frawley |
First Address | Hamburg, NY 14075 |
Second Address | Hamburg, NY 14075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 08/07/2007 |