Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 2006-00368 | NC |
Y | 207W00000X | Ophthalmologist | 249085 | NY |
NPI | 1013921030 |
---|---|
Provider Name | Zinaria Yvonne Williams |
First Address | New York, NY 10003-7221 |
Second Address | New York, NY 10003-7221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 06/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1420M | BCBS (01) | NC |