Individual
KHADEJAH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
603 NIMROD CT, NORTH BABYLON, NY 11703-1501
(631) 482-4542
Mailing address
603 NIMROD CT, NORTH BABYLON, NY 11703-1501
(631) 482-4542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F354600-01
NY
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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