National Provider Identifier

Jerry Williams Jr.

Jerry Williams Jr. is listed in the NPPES registry with a primary specialty of Technician in Rochester, NY and a listed phone number of (585) 512-7320.

NPI 1063081578Rochester, NYTechnician

Profile Overview

NPI
1063081578
Provider Type
Individual
Primary Specialty
Technician
Enumeration Date
June 19, 2021
Last Updated
June 19, 2021

Practice Location

  • 106 Cady St
  • Rochester, NY 14608-2324

Phone: (585) 512-7320

Specialties

  • Technician (374700000X)
Full Record
NPI
1063081578
Entity Type
Individual
Last Name
Williams
First Name
Jerry
Name Suffix
Jr.
Mailing Street Address
106 Cady St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2324
Mailing Country
US
Mailing Phone
(585) 512-7320
Practice Street Address
106 Cady St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2324
Practice Country
US
Practice Phone
(585) 512-7320
Enumeration Date
June 19, 2021
Last Updated
June 19, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
June 17, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Technician (374700000X)