Individual
AISHA SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BRONX RIVER RD APT 7B, YONKERS, NY 10704-4453
(914) 410-4602
Mailing address
125 BRONX RIVER RD APT 7B, YONKERS, NY 10704-4453
(914) 410-4602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
754628
NY
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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