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Georgia Kelly-williams
Psychiatric/Mental Health Nurse Practitioner in Deer Park, New York
NPI 1104545037

Georgia Kelly-williams is a Psychiatric/Mental Health Nurse Practitioner based in Deer Park, NY and is specialized in Psychiatric/Mental Health. Georgia Kelly-williams practices in Deer Park, NY. The NPI Number for Georgia Kelly-williams is 1104545037 and holds a License No. 404380 (New York).

The current practice location address for Georgia Kelly-williams is 52 Tiber Ave, Deer Park, NY and can be reached out via phone at 631-404-8843.

Location: 52 Tiber Ave, Deer Park, NY, 11729-7012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104545037
Provider Name
Georgia Kelly-williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
52 Tiber Ave, Deer Park, NY, 11729-7012
Phone Number
631-404-8843
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
52 Tiber Ave
City
Deer Park
State
New York
Zip
11729-7012
Phone Number
631-404-8843
Fax Number
person
Provider Business Mailing Address Details
Address
52 Tiber Ave
City
Deer Park
State
New York
Zip
11729-7012
Phone Number
631-404-8843
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
404380 (New York)
Definition
Definition to come...
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