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NPI Code Detail

MEDICARE: MS. HARRIET PORCHER WILLIAMS L.C.S.W.

MEDICARE: MS. HARRIET PORCHER WILLIAMS L.C.S.W.
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
11041C0700XClinical Social Worker046320NY

General Provider Information

NPI Number : 1063597821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HARRIET PORCHER WILLIAMS L.C.S.W.
Provider Business Mailing Address
First Line : 2 SHADOW LN
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2525
Country : US
Telephone Number : 914-833-5154
Fax Number :
Provider Business Practice Location Address
First Line : 750 ASTOR AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-9304
Country : US
Telephone Number : 718-882-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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