Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 261877 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 261877 | NY |
NPI | 1194959551 |
---|---|
Provider Name | Kristen M Williams |
First Address | New York, NY 10032-3822 |
Second Address | New York, NY 10032-3822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 04/07/2016 |