MEDICARE: DR. ROBERT C WILLIAMS PHD

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	103T00000X	Psychologist	007679	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	150129	OTHER	NY	MHN
3	41134	OTHER	NY	MVP
4	040426032141	OTHER	NY	FIDELIS CARE
5	1036894	OTHER	NY	METRACOMP
6	132844	OTHER	NY	VALUE OPTIONS; CDPHP; MHS
7	61-73007	OTHER	NY	UNITED BEHAVIORAL HEALTH
8	6801263003	OTHER	NY	GHI
9	7220089	OTHER	NY	AETNA
10	PSY507679-4B	OTHER	NY	WORKERS COMP
11	000406637003	OTHER	NY	BCBS; HEALTH INTEGRATED

General Provider Information

NPI Number	:	1932210804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT C WILLIAMS PHD

Provider Business Mailing Address
First Line	:	726 COLUMBIA TPKE
Second Line	:
City	:	EAST GREENBUSH
State	:	NY
Zip	:	12061-2215
Country	:	US
Telephone Number	:	518-479-4046
Fax Number	:	518-479-4090

Provider Business Practice Location Address
First Line	:	726 COLUMBIA TPKE
Second Line	:
City	:	EAST GREENBUSH
State	:	NY
Zip	:	12061-2215
Country	:	US
Telephone Number	:	518-479-4046
Fax Number	:	518-479-4090

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. ROBERT C WILLIAMS PHD” Practice Location

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