Provider Demographics
NPI:1649712134
Name:LYNN V WILLIAMS
Entity type:Organization
Organization Name:LYNN V WILLIAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-397-3531
Mailing Address - Street 1:494 SHEFFIELD AVE
Mailing Address - Street 2:APT 7B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-5365
Mailing Address - Country:US
Mailing Address - Phone:347-397-3531
Mailing Address - Fax:
Practice Address - Street 1:494 SHEFFIELD AVE
Practice Address - Street 2:APT 7B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-5365
Practice Address - Country:US
Practice Address - Phone:347-397-3531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency