Individual
PATRICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11510 203RD ST, SAINT ALBANS, NY 11412-2839
(718) 501-2938
Mailing address
11510 203RD ST, SAINT ALBANS, NY 11412-2839
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
708156
NY
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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