Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. William Robert Fyke III, MD/PHD

Individual provider Occupational Therapy Assistant · NPI 1366719353

Dr. William Robert Fyke III, MD/PHD is an Occupational Therapy Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

3959 Broadway
New York, NY 10032-1559
Phone: (212) 305-8504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 006067-1 (NY)

Record details

NPI number1366719353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedNovember 19, 2011
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

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