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Individual

SANYA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
832 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1423
(718) 679-4593
Mailing address
832 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1423
(718) 679-4593

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
225800000X
Recreation Therapist
Primary
11991
NY

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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