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Individual

MRS. SELINA A WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP

Contact information

Practice address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 666-3939
Mailing address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 666-3939
(631) 730-3467

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
562964
NY
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F336693
NY

Other

Enumeration date
09/16/2010
Last updated
07/14/2015
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