Individual
MRS. JUDITH WACKMAN-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
26 COURT ST STE 808, BROOKLYN, NY 11242-1108
(718) 522-3600
(718) 522-3667
Mailing address
9420 SKIDMORE AVE, BROOKLYN, NY 11236-5442
(347) 909-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402508-1
NY
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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