Tydahja Maliachristine Williams, is a
Student In An Organized Health Care Education/training Program based in Jamaica, New York. Tydahja Maliachristine Williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
17515 Rockaway Blvd, Jamaica, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 632-3275.
NPI number for Tydahja Maliachristine Williams is 1528890456 and her current mailing address is 2311 Enright Rd Fl 2, Far Rockaway, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528890456.
Healthcare Provider's Profile
| Full Name | Tydahja Maliachristine Williams |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 17515 Rockaway Blvd, Jamaica, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528890456
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Tydahja Maliachristine Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528890456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 26612 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tydahja Maliachristine Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tydahja Maliachristine Williams,
2311 Enright Rd Fl 2,
Far Rockaway, NY 11691-2309
Ph: (929) 432-9725 | Tydahja Maliachristine Williams,
17515 Rockaway Blvd,
Jamaica, NY 11434-5503
Ph: (718) 632-3275 |
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