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NPI Code Detail

MEDICARE: DOLORES V. WILLIAMS BSPT

MEDICARE:   DOLORES V. WILLIAMS  BSPT
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1710019773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLORES V. WILLIAMS BSPT
Provider Business Mailing Address
First Line : 8527 ETON ST
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2406
Country : US
Telephone Number : 718-450-5414
Fax Number : 718-785-5715
Provider Business Practice Location Address
First Line : 3247 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-2015
Country : US
Telephone Number : 718-593-4157
Fax Number : 718-785-5715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ DOLORES V. WILLIAMS BSPT” Practice Location

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