Provider Demographics
NPI:1891440616
Name:WILLIAMS, JAMES M
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 HERITAGE PARK DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2356
Mailing Address - Country:US
Mailing Address - Phone:585-309-9901
Mailing Address - Fax:
Practice Address - Street 1:1038 HERITAGE PARK DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2356
Practice Address - Country:US
Practice Address - Phone:585-309-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)