Provider Demographics
NPI:1427664804
Name:WILLIAMS, CLAIRE I
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:I
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 WESTBROOK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-1886
Mailing Address - Country:US
Mailing Address - Phone:845-522-3369
Mailing Address - Fax:
Practice Address - Street 1:443 WESTBROOK HILLS DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-1886
Practice Address - Country:US
Practice Address - Phone:845-522-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist