Individual
MRS. JOANNE V POPOTTE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 518-5800
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381857-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265682579
—
NY
Enumeration date
09/23/2008
Last updated
07/10/2018
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