Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 043554 | NY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 200757 | NY |
NPI | 1063566131 |
---|---|
Provider Name | Dr. William Lewis Cecere III |
First Address | Buffalo, NY 14220-2400 |
Second Address | Buffalo, NY 14220-2400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01650297 | (05) | NY |
G26757 | (02) | NY |