Individual
COLLIE DELROY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
928 BROADWAY STE 403, NEW YORK, NY 10010-8151
(212) 481-1055
(212) 481-7374
Mailing address
2525 OLINVILLE AVE APT 3C, BRONX, NY 10467-7407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-6640
NY
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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