Individual
SUSAN LOUISE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Mailing address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5536416
NY
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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