Provider Demographics
NPI:1659552438
Name:WILLIAMSON, ALEX K (MD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:K
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:270-05 76TH AVE
Mailing Address - Street 2:LIJMC DEPARTMENT OF PATHOLOGY, ROOM # B68
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:718-470-7490
Mailing Address - Fax:
Practice Address - Street 1:6 OHIO DR
Practice Address - Street 2:SUITE #202
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1124
Practice Address - Country:US
Practice Address - Phone:516-304-7265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2566821207ZF0201X, 207ZP0102X, 207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology