Provider Demographics
NPI:1538228093
Name:WILLIAMS-WILSON, TUMIKA (MD)
Entity type:Individual
Prefix:DR
First Name:TUMIKA
Middle Name:
Last Name:WILLIAMS-WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROLE
Other - Middle Name:WILLIAMS
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9 MOUNT MORRIS PARK W
Mailing Address - Street 2:APT A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6387
Mailing Address - Country:US
Mailing Address - Phone:914-841-5444
Mailing Address - Fax:866-978-9963
Practice Address - Street 1:221 W 138TH ST
Practice Address - Street 2:MEDICAL OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-2102
Practice Address - Country:US
Practice Address - Phone:866-978-9963
Practice Address - Fax:866-978-9963
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170317208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics