Orchard Park Family Practice, Pc

LBN: Orchard Park Family Practice, Pc
Orchard Park Family Practice, Pc is an health care organization with primary practice located at 3670 South Benzing Rd Suite A, Orchard Park NY 14127. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Orchard Park Family Practice, Pc can be contacted via phone (716) 662-5357, or through Degrave, Thomas via phone (716) 662-5357.

Contact Information

Primary practice address
3670 South Benzing Rd Suite A Orchard Park NY 14127
Phone: (716) 662-5357
Fax: (716) 662-2774
Website:
Map and Directions
Authorized official contact:
Name: Degrave, Thomas Doctor of Osteopathy (DO)
Phone: (716) 662-5357

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1811000979
LBN Legal business name Orchard Park Family Practice, Pc
DBA Doing business as
Authorized official Degrave, Thomas Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811000979 NPPES
New York MEDICAID 02780692

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