Individual provider · Type 1 NPI
William Robert Fyke Iii, MD/PHD
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1366719353
Active
Practice location
3959 Broadway
New York, NY 10032-1559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 006067-1 (NY) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
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 1366719353
William Robert Fyke Iii, MD/PHD's National Provider Identifier is 1366719353, issued on Nov 19, 2011. 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 Apr 7, 2022.