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General NPI Number Information
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NPI Number | 1962298802
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Entity Type | Organization
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Legal Business Name | C. WILLIAMS MEDICAL NY PLLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 3307 ROCHAMBEAU AVE
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City | BRONX
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State | NY
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Zip | 10467-2804
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Country | US
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Telephone | 917-397-4679
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Fax | 347-929-0218
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Provider Business Mailing Address
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Address Line | 49 BIRCHWOOD LN
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City | HARTSDALE
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State | NY
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Zip | 10530-3124
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Country | US
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Telephone | 646-657-6325
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Fax | 347-929-0218
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Authorized Official
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Title or Position | OWNER & MEDICAL DIRECTOR
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Name | DR. CARLA MARIEL WILLIAMS
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Credential | MD
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Telephone | 646-657-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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