Provider Demographics
NPI:1174847644
Name:WILLIAMS-SMITH, PEARL SYLVIA (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PEARL
Middle Name:SYLVIA
Last Name:WILLIAMS-SMITH
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 EAST 81ST STREET
Mailing Address - Street 2:BOOKLYN
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:11236
Mailing Address - Country:US
Mailing Address - Phone:718-451-4407
Mailing Address - Fax:
Practice Address - Street 1:710 E 81 ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:718-451-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336116-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily