Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1069 ROUTE 284, WESTTOWN, NY 10998-3529
(845) 544-8441
Mailing address
1069 ROUTE 284, WESTTOWN, NY 10998-3529
(845) 544-8441
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310902
NY
Other
Enumeration date
09/23/2022
Last updated
10/18/2022
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