Individual
MISS ANGELA ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
345 DICK RD, DEPEW, NY 14043-1800
(716) 681-3333
(716) 681-3037
Mailing address
345 DICK RD, DEPEW, NY 14043-1800
(716) 681-3333
(716) 681-3037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022290-1
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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