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Individual

JANICE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
263 RIDGEFIELD RD, ENDICOTT, NY 13760-4256
(607) 757-2154
(607) 757-2864
Mailing address
50 COVENTRY RD, ENDICOTT, NY 13760-4258
(607) 757-2154
(607) 757-2864

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
445814
NY

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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