Provider Demographics
NPI:1578288304
Name:EINSTEIN, MEGAN ELIZABETH WILLIAMSON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ELIZABETH WILLIAMSON
Last Name:EINSTEIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:568 BROADWAY RM 304
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3271
Mailing Address - Country:US
Mailing Address - Phone:212-966-7600
Mailing Address - Fax:
Practice Address - Street 1:568 BROADWAY
Practice Address - Street 2:SUITE NUMBER 304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012
Practice Address - Country:US
Practice Address - Phone:212-966-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028208363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant