Individual
THOMAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3399 WINTON RD S, ROCHESTER, NY 14623-3057
(585) 334-6000
Mailing address
6 BEAUCLAIRE LN, FAIRPORT, NY 14450-4618
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
168250-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
168250-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA
7419324
NY
01
—
EXCELLUS
P010168250
NY
01
—
PREFERRED CARE
103392EU
NY
Enumeration date
01/19/2007
Last updated
03/15/2010
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