Basic Information
Provider Information
NPI: 1285121731
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAVREL
FirstName: THOMAS
MiddleName: W
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 KINGS HWY S
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146175504
CountryCode: US
TelephoneNumber: 5853436030
FaxNumber: 5853447434
Practice Location
Address1: 127 NORTH ST
Address2:  
City: BATAVIA
State: NY
PostalCode: 140201631
CountryCode: US
TelephoneNumber: 5853436030
FaxNumber: 5853447434
Other Information
ProviderEnumerationDate: 04/19/2018
LastUpdateDate: 07/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X309200NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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