# NICHOLE ANN SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295895381
- **Gender:** F
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011333 | NY | Yes |
| 111NS0005X | Sports Physician Chiropractor | X011333 | NY | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 01/20/2023
