Individual
BLANCA Q WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
2625 E 14TH ST STE 200, BROOKLYN, NY 11235-3973
(718) 769-2698
(718) 943-7035
Mailing address
8802 35TH AVE APT 1M, JACKSON HEIGHTS, NY 11372-5718
(718) 769-2698
(718) 943-7035
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
792358
NY
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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