Individual
MS. ALTHIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 DAVIDSON ST, WYANDANCH, NY 11798-4408
(631) 644-4623
Mailing address
70 DAVIDSON ST, WYANDANCH, NY 11798-4408
(631) 644-4623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713388
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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