Basic Information
| Provider Information | |||||||||
| NPI: | 1902856420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6255 SHERIDAN DR | ||||||||
| Address2: | SUITE 304 | ||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142214836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168578666 | ||||||||
| FaxNumber: | 7168578944 | ||||||||
| Practice Location | |||||||||
| Address1: | 518 ABBOTT RD | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142201745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166301188 | ||||||||
| FaxNumber: | 7166301267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 03/13/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 166690-1 | NY | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 161000580 | 01 | NY | EMPIRE | OTHER | 161000580 | 01 | NY | NOVA | OTHER | 00010189702 | 01 | NY | UNIVERA | OTHER | 01851858 | 05 | NY | MEDICAID | 161000580 | 01 | NY | AETNA | OTHER | 161000580 | 01 | NY | UNITED HEALTHCARE | OTHER | 0021748 | 01 | NY | GHI | OTHER | 000527024002 | 01 | NY | HEALTH NOW | OTHER | 1006425 | 01 | NY | IHA | OTHER | 166690-8B | 01 | NY | WORKERS COMPENSATION | OTHER | 040426002433 | 01 | NY | FIDELIS | OTHER | 161000580 | 01 | NY | NORTH AMERICAN PREFERRED | OTHER |