Healthcare Provider Details

I. General information

NPI: 1538666763
Provider Name (Legal Business Name): MARGARET AYUKO-WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FENWAY DR
POUGHKEEPSIE NY
12601-6223
US

IV. Provider business mailing address

134 INNIS AVE
POUGHKEEPSIE NY
12601-2800
US

V. Phone/Fax

Practice location:
  • Phone: 845-527-8551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number537289
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: