Provider Demographics
NPI:1831581768
Name:WILLIAMS, AJAYA LUNETT (ATC)
Entity type:Individual
Prefix:MS
First Name:AJAYA
Middle Name:LUNETT
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 PEARL ST
Mailing Address - Street 2:APT. 10J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1401
Mailing Address - Country:US
Mailing Address - Phone:917-584-4830
Mailing Address - Fax:
Practice Address - Street 1:374 PEARL ST
Practice Address - Street 2:APT. 10J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1401
Practice Address - Country:US
Practice Address - Phone:917-584-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001475-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer