Individual
MRS. CORIN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 HOLDEN RD, PINE CITY, NY 14871-9564
(607) 857-7121
Mailing address
83 HOLDEN RD, PINE CITY, NY 14871
(607) 857-7121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299084-1
NY
164W00000X
Licensed Practical Nurse
PN302909
PA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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