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NPI Code Detail

MEDICARE: DR. JANICE E. WILLIAMS PH.D.

MEDICARE: DR. JANICE E. WILLIAMS PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist010111-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1135524OTHERNYVALUE OPTIONS PROVIDER
2230921OTHERNYCOMPSYCH PROVIDER NUMBER
30063459OTHERNYGHI PROVIDER NUMBER

General Provider Information

NPI Number : 1538382288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANICE E. WILLIAMS PH.D.
Provider Business Mailing Address
First Line : 800 GRAND CONCOURSE APT 1ES
Second Line :
City : BRONX
State : NY
Zip : 10451-3017
Country : US
Telephone Number : 212-283-5444
Fax Number :
Provider Business Practice Location Address
First Line : 800 GRAND CONCOURSE APT 1ES
Second Line :
City : BRONX
State : NY
Zip : 10451-3017
Country : US
Telephone Number : 212-283-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 11/20/2017

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