Individual
CHAISE ALEXANDER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 DOLMAN DR, ROCHESTER, NY 14624-2961
(585) 732-9303
Mailing address
94 DOLMAN DR, ROCHESTER, NY 14624-2961
(585) 732-9303
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2494207
—
NY
Enumeration date
11/13/2018
Last updated
11/13/2018
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