Provider Demographics
NPI:1548722440
Name:WILLIAMS, JONATHAN STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:STEPHEN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7 LEXINGTON AVE APT 3D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5519
Mailing Address - Country:US
Mailing Address - Phone:540-430-1606
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-3192
Practice Address - Fax:212-562-4158
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY321544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology