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Individual

MARIJO SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1802 2ND AVE, NEW YORK, NY 10128-5628
(646) 907-1500
Mailing address
1802 2ND AVE # 14A, NEW YORK, NY 10128-5628

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
659860
NY

Other

Enumeration date
04/20/2021
Last updated
04/20/2021
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