Healthcare Provider Details

I. General information

NPI: 1598097883
Provider Name (Legal Business Name): SARAH WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2010
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 11TH AVE
NEW YORK NY
10019-3535
US

IV. Provider business mailing address

260 AVENUE X
BROOKLYN NY
11223-5940
US

V. Phone/Fax

Practice location:
  • Phone: 212-369-5566
  • Fax: 718-522-1888
Mailing address:
  • Phone: 718-522-3399
  • Fax: 718-522-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTR11743
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number301013
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: