# LYMPHEDEMA MANAGEMENT ASSOCIATES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952657710
- **Authorized official:** DEBORAH ANN WILLIAMS LMT, CLT (OWNER)
- **Authorized official phone:** (718) 980-5161

## Contact information

- **Practice address:** 97 NEW DORP LN, SUITE D, STATEN ISLAND, NY 10306-2364
- **Practice address phone:** (718) 980-5161
- **Practice address fax:** (718) 980-7068
- **Mailing address:** 97 NEW DORP LN, SUITE D, STATEN ISLAND, NY 10306-2364
- **Mailing address phone:** (718) 980-5161
- **Mailing address fax:** (718) 980-7068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 005609-1 | NY | Yes |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012