Healthcare Provider Details

I. General information

NPI: 1760866123
Provider Name (Legal Business Name): JAMILA K WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 CHURCH AVE
BROOKLYN NY
11226-4005
US

IV. Provider business mailing address

PO BOX 5036
WHITE PLAINS NY
10602-5036
US

V. Phone/Fax

Practice location:
  • Phone: 855-681-8700
  • Fax: 718-681-6840
Mailing address:
  • Phone: 845-745-3611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number293132
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: