Individual
MRS. SUZANNE C. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN NCSN
Contact information
Practice address
215 SOUTH BROAD STREET, SACKETS HARBOR, NY 13685-0290
(315) 646-3419
(315) 646-1038
Mailing address
215 SOUTH BROAD STREET, SACKETS HARBOR, NY 13685-0290
(315) 646-3419
(315) 646-1038
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
274339-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013045327
—
NY
Enumeration date
03/09/2011
Last updated
03/09/2011
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