Provider Demographics
NPI:1013243120
Name:FERRIS, WILLIAM S (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:FERRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1163
Mailing Address - Country:US
Mailing Address - Phone:585-398-1201
Mailing Address - Fax:585-398-1202
Practice Address - Street 1:311 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1163
Practice Address - Country:US
Practice Address - Phone:585-398-1201
Practice Address - Fax:585-398-1202
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011074-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor