Individual
EBONY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
745 GATES AVE, 2D, BROOKLYN, NY 11221-1766
(917) 995-6174
Mailing address
745 GATES AVE, 2D, BROOKLYN, NY 11221-1766
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
34305286121
NY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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