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WILLIAM B. HEAD JR. M.D. P.C. NPI 1164793089


NPI Information

NPI: 1164793089
Provider Name: WILLIAM B. HEAD JR. M.D. P.C.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1100 CLOVE RD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 448-5554
Get Directions

WILLIAM B. HEAD JR. M.D. P.C. is a neurology psychiatry neurology in Staten Island, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WILLIAM B. HEAD JR. M.D. P.C. NPI is 1164793089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 CLOVE RD
STATEN ISLAND, NY
ZIP 10301-648
Phone: (718) 448-5554
Fax: (718) 448-6741

The provider's authorized official is William B. Head .
The authorized official title is Doctor and has the following contact phone number (718) 448-5554.

The enumeration date for this NPI number is 1/24/2012 and was last updated on 1/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology25MA02586900NEW JERSEYNo
22084P0800XPsychiatry & NeurologyPsychiatry25MA02586900NEW JERSEYNo
32084P0800XPsychiatry & NeurologyPsychiatry109042NEW YORKNo
42084N0400XPsychiatry & NeurologyNeurology109042NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1664111MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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