Healthcare Provider Details

I. General information

NPI: 1306490255
Provider Name (Legal Business Name): VINCENT PAUL WILLIAMS II DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 WHITE PLAINS RD STE 510
TARRYTOWN NY
10591-5152
US

IV. Provider business mailing address

47 STETSON RD
RINGWOOD NJ
07456-2316
US

V. Phone/Fax

Practice location:
  • Phone: 914-345-5900
  • Fax:
Mailing address:
  • Phone: 201-790-3938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF403226-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number10.124129
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: