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Individual

MS. JENNIFER LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1991 MARCUS AVE STE M100, NEW HYDE PARK, NY 11042-2062
(516) 472-3650
Mailing address
34 MAYFAIR RD, NESCONSET, NY 11767-2609
(516) 459-6143

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383314-01
NY

Other

Enumeration date
10/04/2021
Last updated
02/05/2025
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