Individual
CHYLAYTHEA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MARLOW RD, VALLEY STREAM, NY 11580-3705
(151) 672-4477
Mailing address
2286 JAYDEE CT, FAR ROCKAWAY, NY 11691-3037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WE59505J
—
NY
Enumeration date
06/14/2017
Last updated
06/16/2018
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