Individual
KENNETTE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
25 CHAPEL ST, SUITE 704, BROOKLYN, NY 11201-1952
(718) 522-7300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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