DR. SHAMAR TYRE WILLIAMS (NPI# 1003326406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003326406 |
| Entity Type | Individual |
| Full Name | DR. SHAMAR TYRE WILLIAMS |
| Credential | PSY.D NMD |
| Practice Address |
548 Throggs Neck Expy Bronx NY 10465-1717 |
| Practice Telephone | 8453090037 |
| Mailing Telephone | 8453090037 |
| Mailing Fax Number | 8454869801 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 175F00000X | Naturopath | 732032 | MS | Other Service Providers |
| N | 207R00000X | Internal Medicine | 732032 | MS | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 732032 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 378 Mansion St, Poughkeepsie, NY 12601 | 8458490353 | |
| 73 Market St, Yonkers, NY 10710 | 8455468437 |
| Street Address |
548 THROGGS NECK EXPY |
| City | BRONX |
| State | NY |
| Zip Code | 10465-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346492105 | Reagan Obiozor Anusionwu | Nurse Practitioner | 548 Throggs Neck Expy, Suite 4, Bronx, NY 10465-1717 | 2008-10-10 |
| 1376105262 | Health and Restoration Center | General Practice | 548 Throggs Neck Expy, Bronx, NY 10465-1717 | 2019-07-01 |
| 1982118659 | Emmanuel Counseling Service | Counselor | 548 Throggs Neck Expy, Bronx, NY 10465-1717 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497466 | Cautious Care Medical, P.C. | General Practice | 3250 Westchester Ave Rm 101, Bronx, NY 10461-4548 | 2017-10-09 |
| 1962884700 | Yaser Baghdadi | General Practice | 3636 Waldo Ave Apt 5e, Bronx, NY 10463-2248 | 2015-06-28 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| 1336583483 | Opeoluwa O Eleyinafe | General Practice | 1975 Walton Ave, Bronx, NY 10453-4700 | 2013-04-19 |
| 1972849560 | Dare I Adeyele | General Practice | 2015 Grand Concourse, Essen Medical, Bronx, NY 10453-8648 | 2012-12-31 |
| 1689908055 | Ss Medical Care, PC | General Practice | 961 E 174th St, Suite 18, Bronx, NY 10460-5060 | 2009-10-01 |
| 1396888624 | Anwar N Aziz | General Practice | 3887 Pratt Avenue, Bronx, NY 10466-5930 | 2007-02-15 |
| 1326112020 | Seung Gi Kim | General Practice | 785 Westchester Ave, Bronx, NY 10455-1722 | 2006-11-17 |
| 1346339918 | Kuan P Chiu | General Practice | 534 E 138th St, Bronx, NY 10454 | 2006-10-12 |
| 1427152149 | Maria Anna Lieber | General Practice | James J Peters Va Medical Center, Bronx, NY 10468-3942 | 2006-09-12 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.