Mr Mark Robert Williams, LMT is a
Massage Therapist based in Cornwall, New York. Mr Mark Robert Williams is licensed to practice in New York (license number 018369-1) and his current practice location is
246 Main St Ste 6, Cornwall, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 670-4018.
NPI number for Mr Mark Robert Williams is 1629541750 and his current mailing address is 28 Spring Rd, Washingtonville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629541750.
Healthcare Provider's Profile
| Full Name | Mr Mark Robert Williams |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 246 Main St Ste 6, Cornwall, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629541750
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 02/09/2026
Medical Identifiers
Medical identifiers for Mr Mark Robert Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629541750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 18KT01143800 (New Jersey) | Secondary |
| 225700000X | Massage Therapist | 018369-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Robert Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Mark Robert Williams, LMT 28 Spring Rd, Washingtonville, NY 10992-1830 Ph: (201) 390-2325 | Mr Mark Robert Williams, LMT 246 Main St Ste 6, Cornwall, NY 12518-1568 Ph: (845) 670-4018 |
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