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NPI Code Detail

MEDICARE: DR. TERRI ANTRENASE WILLIAMS-WEEKES M.D.

MEDICARE: DR. TERRI ANTRENASE WILLIAMS-WEEKES M.D.
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
12085P0229XPediatric Radiology Physician203223NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154324184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRI ANTRENASE WILLIAMS-WEEKES M.D.
Provider Business Mailing Address
First Line : 711 TROY SCHENECTADY RD
Second Line : SUITE 203
City : LATHAM
State : NY
Zip : 12110-2442
Country : US
Telephone Number : 518-782-3700
Fax Number : 518-782-3799
Provider Business Practice Location Address
First Line : 47 NEW SCOTLAND AVE
Second Line : RADIOLOGY DEPARTMENT
City : ALBANY
State : NY
Zip : 12208-3412
Country : US
Telephone Number : 518-262-3277
Fax Number : 518-262-4210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 02/24/2016

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