Individual
MR. EDWARD A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
6110 QUEENS BLVD, 2ND FLOOR, WOODSIDE, NY 11377-5776
(718) 397-2002
(646) 524-8323
Mailing address
123 MERMAID LN UNIT 242, BRONX, NY 10473-2499
(718) 684-1832
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
576387
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401226
NY
Other
Enumeration date
10/15/2009
Last updated
01/09/2026
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