Provider Demographics
NPI:1588113260
Name:NORA HEFLIN WILLIAMS MD LLC
Entity type:Organization
Organization Name:NORA HEFLIN WILLIAMS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORA
Authorized Official - Middle Name:HEFLIN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-445-0506
Mailing Address - Street 1:1250 E RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3956
Mailing Address - Country:US
Mailing Address - Phone:201-445-0506
Mailing Address - Fax:201-612-8960
Practice Address - Street 1:1250 E RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3956
Practice Address - Country:US
Practice Address - Phone:201-445-0506
Practice Address - Fax:201-612-8960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty