Individual
ANDREA MARIE WILLIAMS-WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, BRONX, NY 10451-5625
(718) 769-2698
Mailing address
518 LELAND AVE, BRONX, NY 10473-2910
(917) 613-5474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
485225
NY
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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