Healthcare Provider Details

I. General information

NPI: 1063739985
Provider Name (Legal Business Name): ARTHUR R WILLIAMS IV M.D., M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2010
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 PARK AVE S STE 15314
NEW YORK NY
10003-1502
US

IV. Provider business mailing address

240 CENTRAL PARK S # 2H-A
NEW YORK NY
10019-1457
US

V. Phone/Fax

Practice location:
  • Phone: 866-306-2026
  • Fax: 833-228-5591
Mailing address:
  • Phone: 347-857-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC1-0024636
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number262149
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberMD472288
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: