Individual
CINDY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 PETRUS AVE, STATEN ISLAND, NY 10312-3630
(347) 463-1838
Mailing address
185 PETRUS AVE, STATEN ISLAND, NY 10312-3630
(347) 463-1838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
346076
NY
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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