Individual
WILLIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
5220 4TH AVE, BROOKLYN, BROOKLYN, NY 11220-1812
(718) 360-8169
Mailing address
5220 4TH AVE, BROOKLYN, BROOKLYN, NY 11220-1812
(718) 360-8169
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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