Individual
MARGARET SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
Mailing address
9 LOEBEL ST, SELDEN, NY 11784-2216
(631) 543-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12940
CASAC
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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