Individual
MRS. KIMBERLY LARGOZA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 EAST 68TH STREET, NEW YORK, NY 10021
(212) 746-5020
Mailing address
6 CYPRESS ST, JERSEY CITY, NJ 07305-4854
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007823
NY
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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