MEDICARE: ELAINE MARTHA WILLIAMS ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	F302345	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00004337	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912988130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE MARTHA WILLIAMS ANP

Provider Business Mailing Address
First Line	:	PO BOX 304
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-0304
Country	:	US
Telephone Number	:	518-747-3376
Fax Number	:	518-747-8745

Provider Business Practice Location Address
First Line	:	325 MAIN ST
Second Line	:	HUDSON FALLS INTERNAL MEDICINE
City	:	HUDSON FALLS
State	:	NY
Zip	:	12839-1512
Country	:	US
Telephone Number	:	518-747-3376
Fax Number	:	518-747-8745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	06/07/2012

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Directions to “ ELAINE MARTHA WILLIAMS ANP” Practice Location

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