National Provider Identifier

Desaray Williams

Desaray Williams is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 683-7594.

NPI 1174191761Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1174191761
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 11, 2021
Last Updated
June 11, 2021

Practice Location

  • 128 Davis St
  • Rochester, NY 14605-2507

Phone: (585) 683-7594

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1174191761
Entity Type
Individual
Last Name
Williams
First Name
Desaray
Mailing Street Address
128 Davis St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-2507
Mailing Country
US
Mailing Phone
(585) 683-7594
Practice Street Address
128 Davis St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605-2507
Practice Country
US
Practice Phone
(585) 683-7594
Enumeration Date
June 11, 2021
Last Updated
June 11, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
June 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)