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General NPI Number Information
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NPI Number | 1689544777
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Entity Type | Organization
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Legal Business Name | WILLIAMSBURG PSYCHIATRY GROUP, PLLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 109 N 12TH ST STE 507
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City | BROOKLYN
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State | NY
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Zip | 11249-1002
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Country | US
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Telephone | 443-704-7120
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Fax | 844-662-3744
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Provider Business Mailing Address
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Address Line | 10 EDWARDS POINT RD
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City | RUMSON
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State | NJ
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Zip | 07760-1215
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Country | US
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Telephone | 443-704-7120
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Fax | 844-662-3744
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Authorized Official
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Title or Position | OWNER / CEO
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Name | DR. STEVEN KONRAD
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Credential | MD
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Telephone | 443-804-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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