Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 088474-1 | NY |
NPI | 1003243403 |
---|---|
Provider Name | Tiffany Williams |
First Address | Brooklyn, NY 11208-3220 |
Second Address | Brooklyn, NY 11208-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2013 |
Last Update Date | 30/09/2013 |