Basic Information
Provider Information
NPI: 1043233182
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIGGINS
FirstName: WILLIAM
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2649 STRANG BLVD STE 304
Address2:  
City: YORKTOWN HEIGHTS
State: NY
PostalCode: 105982938
CountryCode: US
TelephoneNumber: 2679798095
FaxNumber: 6466977865
Practice Location
Address1: 1756 ROUTE 9D
Address2:  
City: COLD SPRING
State: NY
PostalCode: 105162619
CountryCode: US
TelephoneNumber: 8458095661
FaxNumber: 8458095663
Other Information
ProviderEnumerationDate: 07/26/2006
LastUpdateDate: 12/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X173685NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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