Individual
MS. SHURLAND E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 MILLER AVE, FREEPORT, NY 11520-5517
(347) 409-6642
Mailing address
306 MILLER AVE, FREEPORT, NY 11520-5517
(347) 409-6642
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1357077
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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