Individual
AMEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 BEACH 59TH ST, 507, ARVERNE, NY 11692-1845
(347) 206-9921
Mailing address
146 BEACH 59TH ST, 507, ARVERNE, NY 11692-1845
(347) 206-9921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317265
NY
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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