Individual
MRS. DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LCCE, FACCE
Contact information
Practice address
620 ROUTE 303, BLAUVELT, NY 10913-1170
(845) 353-2730
(845) 353-2358
Mailing address
83 N MAGNOLIA ST, PEARL RIVER, NY 10965-1717
(845) 300-2961
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
12547
NY
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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