Individual
MRS. CAMILLE VERGINA WILLIAMS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
167 STERLING ST, BROOKLYN, NY 11225-3416
(914) 888-4693
Mailing address
167 STERLING ST, BROOKLYN, NY 11225-3416
(914) 888-4693
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
708560-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KY53054W
—
NY
Enumeration date
11/23/2015
Last updated
11/23/2015
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