Individual
BARBARA SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 EXECUTIVE PARK DR, ENTR C, ALBANY, NY 12203-3791
(518) 482-9111
(518) 482-6142
Mailing address
6 EXECUTIVE PARK DR, ENTR C, ALBANY, NY 12203-3791
(518) 482-9111
(518) 482-6142
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4897756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000494600003
BLUE SHIELD NY
NY
01
—
364006
MVP
NY
Enumeration date
02/23/2006
Last updated
07/08/2007
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