Individual
THERESE NANCY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 MADISON AVE, NORTH BALDWIN, NY 11510-1334
(516) 996-6378
Mailing address
615 MADISON AVE, NORTH BALDWIN, NY 11510-1334
(516) 996-6378
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
503622-01
NY
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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