Provider Demographics
NPI:1255720058
Name:WILLIAMS, DANIEL A III (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:980 WESTFALL RD STE 250
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2607
Mailing Address - Country:US
Mailing Address - Phone:585-441-9097
Mailing Address - Fax:585-648-8033
Practice Address - Street 1:980 WESTFALL RD STE 250
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2607
Practice Address - Country:US
Practice Address - Phone:585-441-9097
Practice Address - Fax:585-648-8033
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012618111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor