Individual
MARY ALICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 EDGEWOOD RD, SARANAC LAKE, NY 12983-1537
(518) 354-4126
Mailing address
70 EDGEWOOD RD, SARANAC LAKE, NY 12983-1537
(518) 354-4126
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
453383-01
NY
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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