Individual
DR. BEVERLY ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,ANP-BC, NE-BC
Contact information
Practice address
160 E 34TH ST, LL I, NEW YORK, NY 10016-4744
(212) 731-5476
Mailing address
564 1ST AVE APT 19M, NEW YORK, NY 10016-6491
(212) 684-3307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
303560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356483275
NPI 1356483275
NY
Enumeration date
02/14/2007
Last updated
12/16/2013
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