Individual
MS. PHYLLIS ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 EAST 23RD STREET, SWS 122, NEW YORK, NY 10010
(212) 686-7500
(212) 951-3391
Mailing address
644 LAFAYETTE AVE, APT 4, BROOKLYN, NY 11216
(212) 686-7500
(212) 951-3391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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