Individual
MR. STEVEN ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
40 MOORE RD, MARLBORO, NJ 07746-2103
(718) 986-2635
Mailing address
40 MOORE RD, MARLBORO, NJ 07746-2103
(718) 986-2635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22681000
NJ
163W00000X
Registered Nurse
653735
NY
363LF0000X
Family Nurse Practitioner
26NJ01244500
NJ
363LF0000X
Family Nurse Practitioner
Primary
347221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01244500
NJ APN LICENSE
NJ
01
—
347221
NYS LICENSE
NY
Enumeration date
11/28/2012
Last updated
12/21/2022
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