Individual
CLOVER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1961
Mailing address
339 HICKS ST, BROOKLYN, NY 11201-5509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333634
NY
Other
Enumeration date
08/14/2006
Last updated
08/25/2009
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