Individual
LYNN SARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
8712 175TH ST UNIT 2A, JAMAICA, NY 11432-5776
(718) 360-0907
Mailing address
621 WELLELEIN RD, UNIONDALE, NY 11553-3215
(516) 456-7163
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383036
NY
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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