# OPHELIA MEDICAL GROUP NY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013528363
- **Authorized official:** ARTHUR ROBINSON WILLIAMS IV MD (PRESIDENT)
- **Authorized official phone:** (267) 984-1732

## Contact information

- **Practice address:** 228 PARK AVE S STE 15314, NEW YORK, NY 10003-1502
- **Practice address phone:** (152) 585-2144
- **Practice address fax:** (267) 780-7032
- **Mailing address:** 228 PARK AVE S STE 15314, NEW YORK, NY 10003-1502
- **Mailing address phone:** (152) 585-2144
- **Mailing address fax:** (267) 780-7032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2020
- **Last updated:** 05/24/2021