Healthcare Provider Details

I. General information

NPI: 1114842424
Provider Name (Legal Business Name): DAIYAH LANAE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W 86TH ST
NEW YORK NY
10024-4018
US

IV. Provider business mailing address

114 TROUTMAN ST APT 519
BROOKLYN NY
11206-6250
US

V. Phone/Fax

Practice location:
  • Phone: 646-992-3357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: