Individual
CRAIG WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(212) 690-6202
(212) 690-2757
Mailing address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(212) 690-6202
(212) 690-2757
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
06287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523
—
NY
Enumeration date
03/31/2015
Last updated
03/31/2015
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