Individual
PERCY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 322, NEWBURGH, NY 12551-0322
(845) 391-9088
Mailing address
PO BOX 322, NEWBURGH, NY 12551-0322
(845) 391-9088
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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