MEDICARE: FREDERICK R DOWNS 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
1	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1134146764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK R DOWNS MD

Provider Business Mailing Address
First Line	:	4174 ROUTE 98
Second Line	:	PO BOX 208
City	:	NORTH JAVA
State	:	NY
Zip	:	14113
Country	:	US
Telephone Number	:	585-535-0051
Fax Number	:	585-535-0052

Provider Business Practice Location Address
First Line	:	4174 ROUTE 98
Second Line	:
City	:	NORTH JAVA
State	:	NY
Zip	:	14113
Country	:	US
Telephone Number	:	585-535-0051
Fax Number	:	585-535-0052

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FREDERICK R DOWNS
Credential	:	MD
Telephone Number	:	585-535-0051

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/22/2020

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