Mrs Keisha Ann Monique Williams, PNP - Nurse Practitioner in Medford, NY

Mrs Keisha Ann Monique Williams, PNP is a Nurse Practitioner - Pediatrics based in Medford, New York. Mrs Keisha Ann Monique Williams is licensed to practice in New York (license number 381475) and her current practice location is 2799 Route 112 Ste 11and7, Medford, New York. She can be reached at her office (for appointments etc.) via phone at (631) 732-5222.

NPI number for Mrs Keisha Ann Monique Williams is 1194492918 and her current mailing address is 2799 Route 112 Ste 11&7, Medford, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194492918.

Contact Information

Mrs Keisha Ann Monique Williams, PNP
2799 Route 112 Ste 11and7,
Medford, NY 11763-2535
(631) 732-5222
(631) 732-6222

Map and Direction




Provider's Profile

Full NameMrs Keisha Ann Monique Williams
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2799 Route 112 Ste 11and7, Medford, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194492918
  • Provider Enumeration Date: 08/28/2021
  • Last Update Date: 12/15/2021

Medical Identifiers

Medical identifiers for Mrs Keisha Ann Monique Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194492918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 381475 (New York)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. Mrs Keisha Ann Monique 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 AddressPractice Location Address
Mrs Keisha Ann Monique Williams, PNP
2799 Route 112 Ste 11&7,
Medford, NY 11763-2535

Ph: (631) 732-5222
Mrs Keisha Ann Monique Williams, PNP
2799 Route 112 Ste 11and7,
Medford, NY 11763-2535

Ph: (631) 732-5222

Reviews and Comments


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