FREDERICK WILLIS

BRONX, NY
NPI1669194346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: NY  4259)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
FREDERICK WILLIS
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
Mailing Address
FREDERICK WILLIS
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number:
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