Individual
AVION SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(866) 794-1644
Mailing address
135 CLINTON ST APT 5V, HEMPSTEAD, NY 11550-3212
(516) 507-0211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330996
NY
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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