Individual
TYDAHJA MALIACHRISTINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
Mailing address
2311 ENRIGHT RD FL 2, FAR ROCKAWAY, NY 11691-2309
(929) 432-9725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
41113
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2024
Last updated
08/20/2025
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