Individual
MARYBETH SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
690080
NY
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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