# AW FAMILY HEALTH CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992644934
- **Authorized official:** TASHIBA WILLIAMS (NP/OWNER)
- **Authorized official phone:** (718) 362-1411

## Contact information

- **Practice address:** 633 MAGNOLIA AVE, LA PLACE, LA 70068-3040
- **Practice address phone:** (718) 362-1411
- **Practice address fax:** (718) 362-1651
- **Mailing address:** 612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
- **Mailing address phone:** (718) 362-1411
- **Mailing address fax:** (718) 362-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 03/26/2026