Healthcare Provider Details

I. General information

NPI: 1871429837
Provider Name (Legal Business Name): REMY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 YORK AVE 14TH FLOOR
NEW YORK CITY NY
10065
US

IV. Provider business mailing address

302 PALISADE AVE APT 203
JERSEY CITY NJ
07307-1798
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-5454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number036440
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: