Individual
TINA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8837 82ND AVE, GLENDALE, NY 11385-7811
(347) 730-1475
Mailing address
8837 82ND AVE, GLENDALE, NY 11385-7811
(347) 730-1475
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1409435201
NY
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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