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NPI Code Detail

MEDICARE: DR. LORRAINE EVERRETTE WILLIAMS M.D.

MEDICARE:  DR. LORRAINE EVERRETTE WILLIAMS  M.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
1207VX0000XObstetrics Physician195550NY

General Provider Information

NPI Number : 1811044829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORRAINE EVERRETTE WILLIAMS M.D.
Provider Business Mailing Address
First Line : 17032 HENLEY RD
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2741
Country : US
Telephone Number : 718-297-1214
Fax Number :
Provider Business Practice Location Address
First Line : 21902 LINDEN BLVD
Second Line :
City : CAMBRIA HEIGHTS
State : NY
Zip : 11411-1619
Country : US
Telephone Number : 718-978-5938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 07/08/2007

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Directions to “ DR. LORRAINE EVERRETTE WILLIAMS M.D.” Practice Location

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