Individual provider · Type 1 NPI
Damel M. Williamson
Medical Foods Supplier · Hollis, NY
NPI number
1619899333
Active
Practice location
10028 196th St
Hollis, NY 11423-3309
Other practice locations
- 220 Hoover Ave, Bloomfield, NJ 07003-3867 · (973) 567-8674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Foods Supplier Primary | 335G00000X | None listed |
Medical Foods Supplier: A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
About NPI 1619899333
Damel M. Williamson's National Provider Identifier is 1619899333, issued on Jul 27, 2026. The primary taxonomy on file is Medical Foods Supplier (335G00000X), and the practice location is in Hollis, NY. The record was last updated on Jul 27, 2026.