Individual
ELIZABETH ANNE WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 ISLIP AVE, ISLIP, NY 11751-3015
(631) 581-6800
Mailing address
68 JEFFERSON AVE, ISLIP TERRACE, NY 11752-2607
(631) 404-5813
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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