BEGIN:VCARD VERSION:3.0 FN:Frederick Downs\, MD N:Downs;Frederick;;;MD TITLE:General Practice Physician TEL;TYPE=WORK,VOICE:+15855350051 URL:https://www.gale.care/providers/ny/north-java/frederick-downs-md-116449 4837 NOTE:NPI 1164494837. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1164494837 END:VCARD