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NPI Code Detail

MEDICARE: MR. EDWARD J WILLIAMS LMSW

MEDICARE: MR. EDWARD J WILLIAMS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker071509NY

General Provider Information

NPI Number : 1144494808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD J WILLIAMS LMSW
Provider Business Mailing Address
First Line : 1685 E 45TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3621
Country : US
Telephone Number : 718-692-2323
Fax Number :
Provider Business Practice Location Address
First Line : 810 CLASSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-6102
Country : US
Telephone Number : 718-230-5100
Fax Number : 718-230-5425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2008
Last Update Date : 04/14/2008

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