Individual
MRS. KEISHA ANN MONIQUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1543 STRAIGHT PATH, WYANDANCH, NY 11798-3415
(631) 643-6006
(631) 643-7026
Mailing address
1543 STRAIGHT PATH, WYANDANCH, NY 11798-3415
(631) 643-6006
(631) 643-7026
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381475
NY
Other
Enumeration date
08/28/2021
Last updated
06/23/2025
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