Williams, Chylaythea
Williams, Chylaythea is an individual health care provider with primary practice located at 23 Marlow Rd , Valley Stream NY 11580-3705. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Williams, Chylaythea can be contacted via phone (151) 672-4477.Contact Information
Primary practice address
23 Marlow Rd
Valley Stream NY 11580-3705
Phone: (151) 672-4477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | New York |
Profile Details
| NPI number | 1144750027 |
|---|---|
| LBN Legal business name | Williams, Chylaythea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144750027 | NPPES |
| New York | MEDICAID | WE59505J |
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