Individual
MISS CARLENA MINORA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
55 CHURCH ST, SUITE 201, WHITE PLAINS, NY 10601-1905
(914) 682-1440
(914) 682-1441
Mailing address
111 BRUCE AVE, MOUNT VERNON, NY 10552-3014
(914) 663-1845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
431263-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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