Basic Information
Provider Information
NPI: 1255428009
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMS-CHENG
FirstName: CABILIA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 450 WEST 33RD STREET
Address2: PBS 12TH FLOOR
City: NEWYORK
State: NY
PostalCode: 10001
CountryCode: US
TelephoneNumber: 2123564474
FaxNumber: 2123564608
Practice Location
Address1: 355 BARD AVE
Address2: PSYCHIATRY
City: STATEN ISLAND
State: NY
PostalCode: 10310
CountryCode: US
TelephoneNumber: 7188185692
FaxNumber: 7188762263
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 08/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X230163NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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