Individual
CHELSEA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
106 GENESEE ST, CHITTENANGO, NY 13037-1703
(315) 706-8974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174400000X
—
NY
Enumeration date
10/30/2019
Last updated
10/30/2019
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