Individual
BREANNE MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1190 5TH AVE, BOX 1023, NEW YORK, NY 10029-6503
(212) 241-9502
(212) 659-1521
Mailing address
1190 5TH AVE # 1023, NEW YORK, NY 10029-6503
(212) 241-9502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015065
NY
Other
Enumeration date
09/29/2011
Last updated
10/08/2020
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