Individual
DARIEL SMUCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 569-6600
Mailing address
315 E 78TH ST APT 4D, NEW YORK, NY 10075-1420
(929) 424-8751
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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