National Provider Identifier
Jeffery Todd Facer, MD
Jeffery Todd Facer, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Fredonia, NY and a listed phone number of (716) 679-2233.
Profile Overview
- NPI
- 1174599161
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- February 28, 2006
- Last Updated
- September 06, 2011
Practice Location
- 12 Center Street
- Ste 1
- Fredonia, NY 14063-1804
Phone: (716) 679-2233
Specialties
- Internal Medicine Physician (207R00000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1174599161
- Entity Type
- Individual
- Last Name
- Facer
- First Name
- Jeffery
- Middle Name
- Todd
- Credential
- MD
- Mailing Street Address
- 12 Center Street
- Mailing Address Line 2
- Ste 1
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1804
- Mailing Country
- US
- Mailing Phone
- (716) 679-2233
- Mailing Fax
- (716) 679-9698
- Practice Street Address
- 12 Center Street
- Practice Address Line 2
- Ste 1
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1804
- Practice Country
- US
- Practice Phone
- (716) 679-2233
- Practice Fax
- (716) 679-9698
- Enumeration Date
- February 28, 2006
- Last Updated
- September 06, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Physical Therapist (225100000X)
- Other Identifiers
- 02563651 (NY)