Provider Demographics
NPI:1174563191
Name:WILLIAMS, EMILY (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4575 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4567
Mailing Address - Country:US
Mailing Address - Phone:716-633-4575
Mailing Address - Fax:716-633-4576
Practice Address - Street 1:4575 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4567
Practice Address - Country:US
Practice Address - Phone:716-633-4575
Practice Address - Fax:716-633-4576
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231305207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02775235Medicaid
NY060918000005OtherFIDELIS CARE
NY188440CKOtherPREFERRED CARE
NY0135123OtherGHI
NY000528631001OtherBCBS
NY0713456OtherINDEPENDENT HEALTH
NY00027638701OtherUNIVERA
NY455331OtherWELLCARE
NY02775235Medicaid
RB0675Medicare PIN
RB8594Medicare PIN
NYI54571Medicare UPIN
P00352246Medicare PIN