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Individual

MRS. DIANNE LUCILLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-6011
(585) 275-3966
Mailing address
41 VALLEY GREEN DR, PENFIELD, NY 14526-1721
(585) 388-6657
(585) 388-6657

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
333024
NY
363LF0000X
Family Nurse Practitioner
Primary
F-333024
NY

Other

Enumeration date
08/14/2006
Last updated
07/05/2023
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