Provider Demographics
NPI:1417952193
Name:WILLIAMS, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 MIDDLE SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-5345
Mailing Address - Country:US
Mailing Address - Phone:315-732-0995
Mailing Address - Fax:315-732-0689
Practice Address - Street 1:4350 MIDDLE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5345
Practice Address - Country:US
Practice Address - Phone:315-732-0995
Practice Address - Fax:315-732-0689
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208523207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01995757Medicaid
NY040220000036OtherFIDELIS PROVIDER ID NUMBE
NY965854OtherMVP PROVIDER ID NUMBER
NY990012406OtherRAILROAD MEDICARE ID NUM
NY990012406OtherRAILROAD MEDICARE ID NUM