Healthcare Provider Details

I. General information

NPI: 1770664328
Provider Name (Legal Business Name): MELISSA L WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA LYNN WILLIAMS MD

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 CROMPOND RD
CORTLANDT MANOR NY
10567-4144
US

IV. Provider business mailing address

6 FRONT ST
NEWBURGH NY
12550-5600
US

V. Phone/Fax

Practice location:
  • Phone: 813-695-1277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number274760
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: