Individual provider · Type 1 NPI

Marvin Gaye Williams, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1104485002 Active

Practice location

506 Lenox Ave
New York, NY 10037-1802

Call (212) 939-8361 Map

Mailing address

14 Pinetree Rd
Westbury, NY 11590-2711

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X011921-02 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104485002

Marvin Gaye Williams, MD's National Provider Identifier is 1104485002, issued on Jun 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 13, 2019.