Organization
ALLEN MALCOLM WILLIAMS, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN M. WILLIAMS M.D. (PRESIDENT)
(631) 521-7341
Entity
Organization
Contact information
Practice address
415 W MAIN ST, SMITHTOWN, NY 11787-2612
(631) 521-7341
(631) 521-7342
Mailing address
415 W MAIN ST, SMITHTOWN, NY 11787-2612
(631) 521-7341
(631) 521-7342
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
223882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
08/05/2008
Last updated
12/02/2008
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