Individual
CHRYSA SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1066
Mailing address
NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1066
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F302633-1
NY
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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