Provider Demographics
NPI:1659648921
Name:WILLIAMS, MARIA-LISA C (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA-LISA
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1333
Mailing Address - Country:US
Mailing Address - Phone:518-370-8357
Mailing Address - Fax:518-395-3543
Practice Address - Street 1:2 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1333
Practice Address - Country:US
Practice Address - Phone:518-370-8357
Practice Address - Fax:518-395-3543
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22520970251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)