Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 235672 | NY |
NPI | 1013120849 |
---|---|
Provider Name | Michelle Nicole Williams |
First Address | Yonkers, NY 10701-2873 |
Second Address | Bronx, NY 10467-8124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 29/01/2019 |