Organization · Type 2 NPI

Williamsburg Medical of New York LLC

Vascular & Interventional Radiology Physician · Hewlett, NY

NPI number 1740100858 Active

Practice location

1229 Broadway Ste 103
Hewlett, NY 11557-2014

Mailing address

PO Box 32
Northbrook, IL 60065-0032

Other practice locations

  • 2511 Ocean Ave Ste 102, Brooklyn, NY 11229-3957 · (847) 257-1244

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1740100858

Williamsburg Medical of New York LLC's National Provider Identifier is 1740100858, issued on Jul 18, 2026. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Hewlett, NY. The record was last updated on Jul 24, 2026.