Provider Demographics
NPI:1528377397
Name:HIGGINS, WILLIAM JOSEPH (RN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 72ND ST
Mailing Address - Street 2:APT. 122
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2035
Mailing Address - Country:US
Mailing Address - Phone:718-833-5902
Mailing Address - Fax:
Practice Address - Street 1:190 72ND ST
Practice Address - Street 2:APT. 122
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2035
Practice Address - Country:US
Practice Address - Phone:718-833-5902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 583579163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse