Provider Demographics
NPI:1447464433
Name:PIERCE, WILLIAM S (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:PIERCE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:4184 SENECA ST
Mailing Address - Street 2:STE 203
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3051
Mailing Address - Country:US
Mailing Address - Phone:716-675-3555
Mailing Address - Fax:716-675-3556
Practice Address - Street 1:4184 SENECA ST
Practice Address - Street 2:STE 203
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3051
Practice Address - Country:US
Practice Address - Phone:716-675-3555
Practice Address - Fax:716-675-3556
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN003337213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010257101OtherUNIVERIA HEALTH
NY00908163Medicaid
NY0061372OtherGHI
NY5001265OtherBCBS OF WESTERN NY
NY8903860OtherINDEPENDENT HEALTH
NY0061372OtherGHI