Individual
NICHOLE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
127 MAIN ST STE C, GARDINER, NY 12525-5210
(845) 255-6080
Mailing address
127 MAIN ST STE C, GARDINER, NY 12525-5210
(845) 255-6080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011333
NY
111NS0005X
Sports Physician Chiropractor
X011333
NY
Other
Enumeration date
12/11/2006
Last updated
01/20/2023
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