Provider Demographics
NPI:1588813729
Name:NUGENT, WILLIAM COLLINS III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:COLLINS
Last Name:NUGENT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:56 45 MAIN STREET
Mailing Address - Street 2:W-LL300
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5045
Mailing Address - Country:US
Mailing Address - Phone:718-445-0220
Mailing Address - Fax:718-939-1167
Practice Address - Street 1:56 45 MAIN STREET
Practice Address - Street 2:W-LL300
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-445-0220
Practice Address - Fax:718-939-1167
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
NY2479712086S0102X, 208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery