Provider Demographics
NPI:1124280839
Name:CLAUDE ERRINGTON WILLIAMS, DPM, P.C.
Entity type:Organization
Organization Name:CLAUDE ERRINGTON WILLIAMS, DPM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:ERRINGTON
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-633-5640
Mailing Address - Street 1:2039 BLACKROCK AVE
Mailing Address - Street 2:APT.2B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-6129
Mailing Address - Country:US
Mailing Address - Phone:914-633-5640
Mailing Address - Fax:347-621-5327
Practice Address - Street 1:421 HUGUENOT ST
Practice Address - Street 2:SUITE 53
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7004
Practice Address - Country:US
Practice Address - Phone:914-633-5640
Practice Address - Fax:347-621-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004004213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00968832Medicaid
NY6696350001Medicare NSC
NYP43051Medicare PIN
NYT51338Medicare UPIN