Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith V Williamson, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1962618843

Keith V Williamson, PHYSICIANASSISTANT is a Surgical Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

535 E 70th St
New York, NY 10021-4872
Phone: (212) 606-1909
Fax: (212) 879-6526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007912 (NY)

Record details

NPI number1962618843
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

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