1295705861 NPI number — C. ERRINGTON WILLIAMS, DPM, PC

Table of content: (NPI 1295705861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295705861 NPI number — C. ERRINGTON WILLIAMS, DPM, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C. ERRINGTON WILLIAMS, DPM, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295705861
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2039 BLACKROCK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10472-6129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-828-6500
Provider Business Mailing Address Fax Number:
347-621-5327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
421 HUGUENOT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ROCHELLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10801-7004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-633-5640
Provider Business Practice Location Address Fax Number:
914-632-6760
Provider Enumeration Date:
01/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
CLAUDE
Authorized Official Middle Name:
ERRINGTON
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
914-633-5640

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  N004004 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00968832 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com