Provider Demographics
NPI:1023191947
Name:WILLIAMS, ZOE ANNETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:ANNETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531A W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6104
Mailing Address - Country:US
Mailing Address - Phone:516-606-4261
Mailing Address - Fax:718-788-0807
Practice Address - Street 1:164 20TH STREET
Practice Address - Street 2:SUITE 3C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232
Practice Address - Country:US
Practice Address - Phone:516-606-4261
Practice Address - Fax:718-788-0807
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY550145103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVM1341Medicare ID - Type Unspecified