Individual
DR. WILLIAM MIDDLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, CHN 2, NEW YORK, NY 10032-1559
(212) 342-8585
(212) 305-9270
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 342-8585
(212) 305-9270
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
207418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7161384
—
NY
Enumeration date
10/02/2006
Last updated
08/15/2013
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