Provider Demographics
NPI:1730112624
Name:WILLIAMS, TRINISHA CANDISE (LM MPH)
Entity Type:Individual
Prefix:MS
First Name:TRINISHA
Middle Name:CANDISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LM MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1199 EAST 53RD
Mailing Address - Street 2:APT 6U
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:917-375-1763
Mailing Address - Fax:
Practice Address - Street 1:1199 E 53RD ST APT 6U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2355
Practice Address - Country:US
Practice Address - Phone:917-375-1763
Practice Address - Fax:814-292-9218
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001169367A00000X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife