Provider Demographics
NPI:1811922289
Name:WEEKS, WILLIAM DAVID (FNP)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:WEEKS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-739-5172
Practice Address - Street 1:2 STOWE RD
Practice Address - Street 2:CAREMOUNT MEDICAL, PC
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2570
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-739-5172
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333143-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02316172Medicaid
P78372Medicare UPIN
NYA400063695Medicare PIN