Individual
CHANTEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 OLD COUNTRY ROAD SUITE SUITE C103N, WESTBURY, NY 11590
(914) 898-5117
Mailing address
14 OLD COUNTRY ROAD SUITE C103N C103N, WESTBURY, NY 11590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
NY
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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