Individual
VANESSA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 28TH ST, LONG ISLAND CITY, NY 11101-4130
(347) 396-2165
(347) 396-2184
Mailing address
4209 28TH ST, LONG ISLAND CITY, NY 11101-4130
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
301686
NY
Other
Enumeration date
03/18/2015
Last updated
04/10/2015
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