Provider Demographics
NPI:1962298802
Name:C. WILLIAMS MEDICAL NY PLLC
Entity type:Organization
Organization Name:C. WILLIAMS MEDICAL NY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:MARIEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-657-6325
Mailing Address - Street 1:49 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3124
Mailing Address - Country:US
Mailing Address - Phone:646-657-6325
Mailing Address - Fax:347-929-0218
Practice Address - Street 1:3307 ROCHAMBEAU AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2804
Practice Address - Country:US
Practice Address - Phone:917-397-4679
Practice Address - Fax:347-929-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty