Provider Demographics
NPI:1770657819
Name:BOND, WILLIAM EARL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EARL
Last Name:BOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 WHITE PLAINS ROAD
Mailing Address - Street 2:MEDICAL ARTS BUILDING SUITE 21
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5537
Mailing Address - Country:US
Mailing Address - Phone:914-793-2663
Mailing Address - Fax:
Practice Address - Street 1:475 WHITE PLAINS ROAD
Practice Address - Street 2:MEDICAL ARTS BUILDING SUITE 21
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5537
Practice Address - Country:US
Practice Address - Phone:914-793-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
53F561Medicare ID - Type Unspecified
E48851Medicare UPIN