Organization Active NPI

Wiliam Corporation

  • Developmental Disabilities Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1568745792
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
002031 Issued in NY
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

Updated by the provider on Sep 23, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.