Individual
SHARIFA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 BARK AVE, CENTRAL ISLIP, NY 11722-2826
(631) 747-1659
Mailing address
188 BARK AVE, CENTRAL ISLIP, NY 11722-2826
(631) 747-1659
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
008134
NY
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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