Isaiah Robert Williams, PA-C
Physician Assistant in Bronx, NY. Individual provider (NPI-1).
NPI number1629753181
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1629753181
- Entity type
- Individual (NPI-1)
- Name
- Isaiah Robert Williams
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2023
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 030025 | NY | Yes |
| 363AS0400X | Physician Assistant, Surgical | 030025 | – | |
| 363AM0700X | Physician Assistant, Medical | 030025 | NY |
Practice location
1400 Pelham Pkwy SBronx, NY 10461-1138
Phone 718-918-5000
Mailing address
51 Mitchell AvePiscataway, NJ 08854-5558
Phone 140-426-8687
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