National Provider Identifier
Thomas Edward Degrave, D.O.
Thomas Edward Degrave, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Orchard Park, NY and a listed phone number of (716) 662-5357.
Profile Overview
- NPI
- 1134187537
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 03, 2006
- Last Updated
- January 07, 2016
Practice Location
- 3670 S Benzing RD
- Orchard Park, NY 14127-1705
Phone: (716) 662-5357
Mailing Address
- 10271 Darien RD
- Holland, NY 14080-9628
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1134187537
- Entity Type
- Individual
- Last Name
- Degrave
- First Name
- Thomas
- Middle Name
- Edward
- Credential
- D.O.
- Mailing Street Address
- 10271 Darien RD
- Mailing City
- Holland
- Mailing State
- NY
- Mailing ZIP Code
- 14080-9628
- Mailing Country
- US
- Practice Street Address
- 3670 S Benzing RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1705
- Practice Country
- US
- Practice Phone
- (716) 662-5357
- Practice Fax
- (716) 662-2774
- Enumeration Date
- May 03, 2006
- Last Updated
- January 07, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01789519 (NY)