Individual
DR. MARY A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
111 ORCHARD LN N, WOODSTOCK, NY 12498-1163
(845) 679-6037
Mailing address
111 ORCHARD LN N, WOODSTOCK, NY 12498-1163
(845) 679-6037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005659
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WC CO-56590
WORKERS COMPENSATION NY
NY
Enumeration date
07/24/2007
Last updated
07/24/2007
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