Individual
ANTON L WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
152 BAYVIEW DR, MASTIC BEACH, NY 11951-5401
(631) 314-2133
Mailing address
152 BAYVIEW DR, MASTIC BEACH, NY 11951-5401
(631) 314-2133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94172301
NY
164W00000X
Licensed Practical Nurse
265189-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02206191
—
NY
Enumeration date
08/07/2007
Last updated
05/21/2025
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