Individual
ANNA GRIBOVSKAYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8500
Mailing address
63 GRAPE LN, HICKSVILLE, NY 11801-6154
(718) 427-6770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309257-01
NY
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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