Provider Demographics
NPI:1215964648
Name:WILLIAMS, GAIL S (MD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:206 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1425
Mailing Address - Country:US
Mailing Address - Phone:201-444-5748
Mailing Address - Fax:
Practice Address - Street 1:180 FORT WASHINGTON AVE
Practice Address - Street 2:ROOM 236
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3722
Practice Address - Country:US
Practice Address - Phone:212-305-5376
Practice Address - Fax:212-305-5155
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY104534207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01001156Medicaid
NY567031Medicare ID - Type Unspecified
NY01001156Medicaid