ISRAEL WILLIS

BRONX, NY
NPI1932448701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: NY  268360-1)
Enumeration Date2013-02-13
Last Update Date2018-11-20
Business Address
ISRAEL WILLIS
2015 GRAND CONCOURSE
BRONX, NY 10453
Phone number: 718-299-7295
Mailing Address
ISRAEL WILLIS
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401