Individual
WILLIANNY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 GREAT EAST NECK RD, WEST BABYLON, NY 11704-8027
(631) 332-3262
Mailing address
129 FEUSTAL ST, WEST BABYLON, NY 11704-5101
(631) 332-3262
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
765255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496101677
LICENSE
NY
Enumeration date
03/25/2021
Last updated
03/25/2021
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