Provider Demographics
NPI:1932726817
Name:WILLIAMS, BELINDA (MD)
Entity Type:Individual
Prefix:MISS
First Name:BELINDA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY
Mailing Address - Street 2:GME - ROOM 10A216
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8779
Mailing Address - Fax:
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:GME - ROOM 10A216
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2022-06-01
Deactivation Date:2022-02-10
Deactivation Code:
Reactivation Date:2022-06-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program