Individual
SHANA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
16345 130TH AVE APT 10C, JAMAICA, NY 11434-3024
(347) 869-4102
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421542
NY
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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