Healthcare Provider Details

I. General information

NPI: 1528941275
Provider Name (Legal Business Name): CHLOE MAUDLYN WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 48TH ST
BROOKLYN NY
11219-2934
US

IV. Provider business mailing address

1068 48TH ST
BROOKLYN NY
11219-2934
US

V. Phone/Fax

Practice location:
  • Phone: 347-825-6270
  • Fax: 718-635-7276
Mailing address:
  • Phone: 347-825-6270
  • Fax: 718-635-7276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357514
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: