Provider Demographics
NPI:1629156625
Name:WILLIAMS, FLORENCE (MA RN)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 FIFTH AVE
Mailing Address - Street 2:938
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3019
Mailing Address - Country:US
Mailing Address - Phone:212-727-7177
Mailing Address - Fax:212-727-7177
Practice Address - Street 1:85 FIFTH AVE
Practice Address - Street 2:938
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10003-3019
Practice Address - Country:US
Practice Address - Phone:212-727-7177
Practice Address - Fax:212-727-7177
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166450364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P45270Medicare UPIN
NYRA0621Medicare ID - Type Unspecified