Basic Information
Provider Information
NPI: 1992133003
EntityType: 2
ReplacementNPI:  
OrganizationName: GLORIA WILLIAMS
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: 116 W 32ND ST FL 8
Address2:  
City: NEW YORK
State: NY
PostalCode: 100013212
CountryCode: US
TelephoneNumber: 8665519700
FaxNumber: 2129477625
Practice Location
Address1: 116 W 32ND ST FL 8
Address2:  
City: NEW YORK
State: NY
PostalCode: 100013212
CountryCode: US
TelephoneNumber: 8665519700
FaxNumber: 2129477625
Other Information
ProviderEnumerationDate: 10/29/2013
LastUpdateDate: 10/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WRIGHT
AuthorizedOfficialFirstName: MARCELLO
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: RECRUITER
AuthorizedOfficialTelephone: 8665519700
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251J00000X572710-1NYY AgenciesNursing Care 

No ID Information.


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