Individual
NERISA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LAKE ST APT 7N-N, WHITE PLAINS, NY 10604-2474
(914) 484-3222
Mailing address
125 LAKE ST APT 7N-N, WHITE PLAINS, NY 10604-2474
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306723-1
NY
Other
Enumeration date
11/04/2014
Last updated
07/25/2025
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