MEDICARE: KASSANDRA RENEE 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	163WI0500X	Infusion Therapy Registered Nurse	575135	NY
2	163WM1400X	Nurse Massage Therapist (NMT)	575135	NY

General Provider Information

NPI Number	:	1912784497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASSANDRA RENEE WILLIAMS

Provider Business Mailing Address
First Line	:	4100 HUTCHINSON RIVER PKWY E APT 2F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-5431
Country	:	US
Telephone Number	:	347-224-4686
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 HUTCHINSON RIVER PKWY E APT 2F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-5431
Country	:	US
Telephone Number	:	347-224-4686
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

Similar Medicare Providers

1770727166 — MRS. SANDRA FARRELL FNP
Practice Location Address:

1537 LONGFELLOW AVE
BRONX, NY
10460-5431

Practice Phone: 718-617-9213
Practice Fax:

1669847869 — QUEENIE WHITE
Practice Location Address:

2440 HUNTER AVE , APARTMENT 26E
BRONX, NY
10475-5646

Practice Phone: 718-666-5954
Practice Fax:

1649130600 — PHILLIPA SHAND
Practice Location Address:

100 DARROW PL APT 6E
BRONX, NY
10475-1865

Practice Phone: 347-495-4784
Practice Fax:

1346246378 — WINSTON JOSEPH C.R.N.A.
Practice Location Address:

100 DREISER LOOP APT 2B
BRONX, NY
10475-2661

Practice Phone: 718-671-1024
Practice Fax:

1518964923 — ADVANCED DERMATOLOGY OF NEW YORK PC
Practice Location Address:

2100 BARTOW AVE , STE 211
BRONX, NY
10475-4614

Practice Phone: 718-865-0515
Practice Fax: 212-246-0890

1134127632 — MRS. YELENA DREYZINA DPM
Practice Location Address:

120 ELGAR PL BLDG 34
BRONX, NY
10475-5103

Practice Phone: 718-708-6121
Practice Fax: 718-708-5381

Directions to “ KASSANDRA RENEE 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.