Individual
SANDRA JEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1561 LONG POND RD STE 303, ROCHESTER, NY 14626-4135
(585) 368-6500
(585) 368-6501
Mailing address
89 GENESEE ST, 3RD FL. BK BLDG., ROCHESTER, NY 14611-3201
(585) 368-3031
(585) 368-3037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02506412
—
NY
Enumeration date
06/23/2006
Last updated
05/04/2020
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