Provider Demographics
NPI:1194959551
Name:WILLIAMS, KRISTEN M (MD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1150 SAINT NICHOLAS AVE
Mailing Address - Street 2:2ND FLOOR NAOMI BERRIE DIABETES CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3822
Mailing Address - Country:US
Mailing Address - Phone:212-851-5494
Mailing Address - Fax:212-851-5493
Practice Address - Street 1:1150 SAINT NICHOLAS AVE
Practice Address - Street 2:2ND FLOOR NAOMI BERRIE DIABETES CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3822
Practice Address - Country:US
Practice Address - Phone:212-851-5494
Practice Address - Fax:212-851-5493
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2016-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY261877208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics