Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 219988 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 219988 | NY |
NPI | 1710914627 |
---|---|
Provider Name | Cheryl A Williams |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 17/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02127815 | (05) | NY |
H33759 | (02) |