Provider Demographics
NPI:1902856420
Name:WILLIAMS, ROBERT W (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6255 SHERIDAN DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4836
Mailing Address - Country:US
Mailing Address - Phone:716-857-8666
Mailing Address - Fax:716-857-8944
Practice Address - Street 1:518 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1745
Practice Address - Country:US
Practice Address - Phone:716-630-1188
Practice Address - Fax:716-630-1267
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2008-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY166690-1207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherEMPIRE
NY161000580OtherNOVA
NY00010189702OtherUNIVERA
NY01851858Medicaid
NY161000580OtherAETNA
NY161000580OtherUNITED HEALTHCARE
NY0021748OtherGHI
NY000527024002OtherHEALTH NOW
NY1006425OtherIHA
NY166690-8BOtherWORKERS COMPENSATION
NY040426002433OtherFIDELIS
NY161000580OtherNORTH AMERICAN PREFERRED