Individual
DEREK JRW WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
320 E 94TH ST FL 2, MOUNT SINAI ADOLESCENT HEALTH CENTER, NEW YORK, NY 10128-5604
(212) 731-7530
(212) 423-2920
Mailing address
4260 BROADWAY, SUITE 601, NEW YORK, NY 10033-3726
(347) 789-7556
(419) 858-4738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005384-1
NY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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