Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 233993 | NY |
NPI | 1467567305 |
---|---|
Provider Name | Dr. James R Mcwilliam |
First Address | Mamaroneck, NY 10528 |
Second Address | Harrison, NY 10528-1635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 29/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02595077 | (05) | NY |
HO5742 | (02) |