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Individual

DANIEL JAMES WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866
Mailing address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
171557
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010189801
UNIVERA
NY
01
000511191005
HEALTH INTEGRATED
NY
05
01077201
NY
01
11124958
CAQH
NY
01
146799
VALUE OPTIONS
NY
01
156808
INDEPENDENT HEALTH
NY
Enumeration date
05/24/2005
Last updated
07/08/2007
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