Organization
WILIAM CORPORATION
Active
Organization
WILIAM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MEDINA O.T. (OWNER)
(347) 236-7847
Entity
Organization
Contact information
Practice address
641 PRESIDENT ST, SUITE 105, BROOKLYN, NY 11215-1523
(347) 236-7847
Mailing address
14 BOND ST, SUITE 430, GREAT NECK, NY 11021-2045
(347) 236-7847
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
002031
NY
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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