Individual
KEITH V WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1909
(212) 879-6526
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1909
(212) 879-6526
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007912
NY
Other
Enumeration date
05/15/2007
Last updated
04/27/2021
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