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NPI Code Detail

MEDICARE: DR. MARK E WILLIAMS M.D.

MEDICARE: DR. MARK E WILLIAMS 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
1208600000XSurgery Physician202473NY

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 : 1710971866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK E WILLIAMS M.D.
Provider Business Mailing Address
First Line : PO BOX 2000
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-4500
Country : US
Telephone Number : 315-362-5129
Fax Number : 315-362-5179
Provider Business Practice Location Address
First Line : 1500 N JAMES ST
Second Line :
City : ROME
State : NY
Zip : 13440-2844
Country : US
Telephone Number : 315-338-7184
Fax Number : 315-338-1975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 05/12/2023

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