Kelly-Williams, Georgia

Kelly-Williams, Georgia is an individual health care provider with primary practice located at 52 Tiber Ave , Deer Park NY 11729-7012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kelly-Williams, Georgia can be contacted via phone (631) 404-8843.

Contact Information

Primary practice address
52 Tiber Ave Deer Park NY 11729-7012
Phone: (631) 404-8843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404380 New York

Profile Details

NPI number 1104545037
LBN Legal business name Kelly-Williams, Georgia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2022
Last updated Aug 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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