| Doctor Name: | MRS. SELINA A WILLIAMS |
| NPI Number: | 1144538836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP |
| License Number: | 562964 |
| Business Practice Address: | 712 Main St Islip, NY - 117513620 |
| Business Phone Number: | 6316663939 |
| Business Fax Number: | |
| Mailing Address: | 712 Main St, ISLIP |
| State: | NY |
| Postal Code: | 117513620 |
| Phone Number: | 6316663939 |
| Fax Number: | 6317303467 |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 562964 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |