Individual
DENISE D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4086 DE REIMER AVE, BRONX, NY 10466-2321
(914) 275-2540
Mailing address
4086 DE REIMER AVE, BRONX, NY 10466-2321
(914) 275-2540
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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