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Organization
AW FAMILY HEALTH CLINIC LLC
Active
Organization
AW FAMILY HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHIBA WILLIAMS (NP/OWNER)
(718) 362-1411
Entity
Organization
Contact information
Practice address
633 MAGNOLIA AVE, LA PLACE, LA 70068-3040
(718) 362-1411
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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