Provider Demographics
NPI:1225205297
Name:WILLIAMS, ALICIA NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:NICOLE
Last Name:WILLIAMS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1434 WILLIAMSBRIDGE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2507
Mailing Address - Country:US
Mailing Address - Phone:718-618-0401
Mailing Address - Fax:347-479-1303
Practice Address - Street 1:2015 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4303
Practice Address - Country:US
Practice Address - Phone:718-299-7295
Practice Address - Fax:718-299-6797
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2020-03-13
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Provider Licenses
StateLicense IDTaxonomies
NY272372207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine