Provider Demographics
NPI:1811293152
Name:WILLIAMS, ANTHONY SM (0T)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SM
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:0T
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Mailing Address - Street 1:1158 DEAN ST
Mailing Address - Street 2:1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3056
Mailing Address - Country:US
Mailing Address - Phone:917-822-6240
Mailing Address - Fax:347-413-9238
Practice Address - Street 1:60 E 93RD ST
Practice Address - Street 2:301
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2353
Practice Address - Country:US
Practice Address - Phone:917-822-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0086691225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist