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Individual

ALICIA D WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8100
Mailing address
PO BOX 37115, ELMONT, NY 11003-7115
(347) 498-6138

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403695
NY

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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