Individual
CAROLYN ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
702 HICKSVILLE RD, MASSAPEQUA, NY 11758-1260
(516) 797-8365
Mailing address
188 PITTSBURGH AVE, MASSAPEQUA, NY 11758-4642
(516) 798-8453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36150
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36150
NEW YORK STATE LICENSE
NY
Enumeration date
02/15/2008
Last updated
02/15/2008
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