Individual
MISS JANICE NICHOLA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
39 JASPER ST, VALLEY STREAM, NY 11580-1636
(917) 371-0226
Mailing address
39 JASPER ST, VALLEY STREAM, NY 11580-1636
(917) 371-0226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011663-1
NY
Other
Enumeration date
03/13/2007
Last updated
05/16/2008
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