Frederick Willis
Frederick Willis is a Peer Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
3584 Jerome AveBronx, NY 10467-1006
Phone: (718) 653-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 4259 (NY) |
|---|
Record details
| NPI number | 1669194346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2022 |
| Last updated in NPPES | September 19, 2022 |
| Certification date | September 19, 2022 |
| Mailing address | 79 Glenridge Rd, Glenville, NY 12302-4523 |
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