Provider Demographics
NPI:1952367252
Name:CONWAY, JAMES T (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:CONWAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6255 SHERIDAN DR
Mailing Address - Street 2:STE 108
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4825
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8216
Practice Address - Country:US
Practice Address - Phone:716-630-1039
Practice Address - Fax:716-630-1494
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2016-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY148610-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000504376005OtherHEALTH NOW
NY2407173OtherIHA
NY00010179401OtherUNIVERA
NY0021748OtherGHI
NY161000580OtherEMPIRE
NY161000580OtherNORTH AMERICAN PREFERRED
NY01050375Medicaid
NY830002290OtherRR MEDICARE
NY2407173OtherIHA
NY161000580OtherNORTH AMERICAN PREFERRED