MEDICARE: MS. SHANNON T WILLIAMS

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
1	363LA2200X	Adult Health Nurse Practitioner	312878	NY
2	163W00000X	Registered Nurse	750672	NY

General Provider Information

NPI Number	:	1508782194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHANNON T WILLIAMS

Provider Business Mailing Address
First Line	:	1493 GASTON ST
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-3054
Country	:	US
Telephone Number	:	516-813-7449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1493 GASTON ST
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-3054
Country	:	US
Telephone Number	:	516-813-7449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

Similar Medicare Providers

1487231809 — FRANK SUNG HWANG MD
Practice Location Address:

2020 WANTAGH AVE
WANTAGH, NY
11793-3931

Practice Phone: 516-961-4545
Practice Fax:

1538095823 — JOHN KING
Practice Location Address:

2050 JONES AVE
WANTAGH, NY
11793-3818

Practice Phone: 516-666-2691
Practice Fax:

1316863467 — SARA ROSE WEBEL PA-C
Practice Location Address:

3784 BERNARD DR
WANTAGH, NY
11793-1650

Practice Phone: 516-761-9954
Practice Fax:

1174131387 — MRS. JULIE STACY SOLARSH
Practice Location Address:

3305 JERUSALEM AVE STE 207
WANTAGH, NY
11793-2028

Practice Phone: 516-884-7742
Practice Fax:

1912839788 — ALEXIS VALENCIA
Practice Location Address:

1257 PLEASANT RD
WANTAGH, NY
11793-2640

Practice Phone: 516-474-6833
Practice Fax:

1679579114 — MRS. MONICA CARACIOLO MSPT
Practice Location Address:

2237A WANTAGH AVE
WANTAGH, NY
11793-3917

Practice Phone: 516-826-0116
Practice Fax: 516-826-0115

Directions to “ MS. SHANNON T WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.