MEDICARE: BIANCA COLETTE WILLIAMS RN

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	163W00000X	Registered Nurse	973209	NY

General Provider Information

NPI Number	:	1841528395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA COLETTE WILLIAMS RN

Provider Business Mailing Address
First Line	:	1998 ROUTE 112
Second Line	:
City	:	CORAM
State	:	NY
Zip	:	11727-3000
Country	:	US
Telephone Number	:	631-846-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1998 ROUTE 112
Second Line	:
City	:	CORAM
State	:	NY
Zip	:	11727-3000
Country	:	US
Telephone Number	:	631-394-7016
Fax Number	:

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

Provider Enumeration Date	:	11/20/2009
Last Update Date	:	12/11/2025

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