Individual
CARLOS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 EMPIRE AVE, SYRACUSE, NY 13207-2433
(315) 289-8925
Mailing address
232 EMPIRE AVE, SYRACUSE, NY 13207-2433
(315) 289-8925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321656
NY
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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