Individual
SAMUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 WESTCHESTER AVE APT L13, BRONX, NY 10462-4596
(929) 606-3234
Mailing address
2008 WESTCHESTER AVE APT L13, BRONX, NY 10462-4596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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