Williams, Anton L

Williams, Anton L is an sole proprietor health care provider with primary practice located at 134 Leaf Ave , Central Islip NY 11722-3936. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Williams, Anton L can be contacted via phone (631) 439-0576.

Contact Information

Primary practice address
134 Leaf Ave Central Islip NY 11722-3936
Phone: (631) 439-0576
Fax: (631) 439-0576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 265189-1 New York

Profile Details

NPI number 1023209863
LBN Legal business name Williams, Anton L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Aug 7th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023209863 NPPES
New York MEDICAID 02206191

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