Provider Demographics
NPI:1013921030
Name:WILLIAMS, ZINARIA YVONNE (MD)
Entity type:Individual
Prefix:
First Name:ZINARIA
Middle Name:YVONNE
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 1:325 E 12TH ST
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-7221
Mailing Address - Country:US
Mailing Address - Phone:617-501-3540
Mailing Address - Fax:
Practice Address - Street 1:325 E 12TH ST
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7221
Practice Address - Country:US
Practice Address - Phone:617-501-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00368207W00000X
NY249085207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1420MOtherBCBS
NC1420MOtherBCBS