# CHRYSA SMALLEY ANP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922832674
- **Authorized official:** CHRYSA SMALLEY NP (ANP/OWNER)
- **Authorized official phone:** (516) 322-9724

## Contact information

- **Practice address:** 121 PULASKI RD, KINGS PARK, NY 11754-2539
- **Practice address phone:** (516) 322-9724
- **Mailing address:** 15 WOODLAND DRIVE, KINGS PARK, NY 11754
- **Mailing address phone:** (516) 322-9724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2024
- **Last updated:** 08/27/2024