Individual
TYESHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(917) 504-9898
Mailing address
PO BOX 3511, MOUNT VERNON, NY 10553-3511
(917) 504-9898
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
08/04/2019
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