Healthcare Provider Details

I. General information

NPI: 1578493623
Provider Name (Legal Business Name): TOCARRA L WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 DOAT ST
BUFFALO NY
14211-2130
US

IV. Provider business mailing address

471 DOAT ST
BUFFALO NY
14211-2130
US

V. Phone/Fax

Practice location:
  • Phone: 716-305-9457
  • Fax:
Mailing address:
  • Phone: 716-305-9457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNY000428570E
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: