Active NPI
Wiliam Corporation
- Developmental Disabilities Clinic/Center
- Brooklyn, NY
National Provider Identifier
1568745792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- 002031
- Legal business name
- WILIAM CORPORATION
- Practice address
- 641 President St
Suite 105
Brooklyn, NY 11215-1523 - Phone
- (347) 236-7847
- NPI assigned
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Medina, O.T.
- Title
- Owner
- Phone
- (347) 236-7847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 002031 | NY | Primary |
Addresses
Primary practice location
641 President St
Suite 105
Brooklyn, NY 11215-1523
Mailing address
14 Bond St
Suite 430
Great Neck, NY 11021-2045
Phone (347) 236-7847
National Provider Directory
National Provider DirectoryLocations
641 President St
Ste 105
Brooklyn, NY 11215
Phone (347) 236-7847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1568745792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BOND ST",
"address_2": "SUITE 430",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212045",
"telephone_number": "347-236-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 PRESIDENT ST",
"address_2": "SUITE 105",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151523",
"telephone_number": "347-236-7847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILIAM CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-236-7847",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "O.T."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NY",
"license": "002031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.