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NPI Code Detail

MEDICARE: MR. THOMAS LEE GREER MD

MEDICARE:  MR. THOMAS LEE GREER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician158608NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2158608CROTHERNYWORKERS COMPENSATION

General Provider Information

NPI Number : 1508853573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS LEE GREER MD
Provider Business Mailing Address
First Line : 333 E 5TH ST
Second Line : P O BOX 788
City : JAMESTOWN
State : NY
Zip : 14701-5551
Country : US
Telephone Number : 716-664-9731
Fax Number : 716-664-9160
Provider Business Practice Location Address
First Line : 207 FOOTE AVE
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-7077
Country : US
Telephone Number : 716-487-0141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/08/2007

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