Individual
SEBASTIAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2460 FLATBUSH AVE, BROOKLYN, NY 11234-5013
(718) 807-7781
Mailing address
11111 201ST ST, SAINT ALBANS, NY 11412-2139
(718) 807-7781
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4219693
—
NY
Enumeration date
12/11/2019
Last updated
09/30/2024
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