SearchNew York163W00000X

Carlene Williams-Jack

NPI 1306638960 · on the registry since 2025 · sole proprietor

Practice

Address
324 E 4th St Apt C10
Mount Vernon, NY 10553
Phone
(347) 579-6654

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York