Individual
CASSANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BENCHLEY PL, 6-H, BRONX, NY 10475-3302
(646) 281-5717
Mailing address
100 BENCHLEY PL, 6-H, BRONX, NY 10475-3302
(646) 281-5717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2298731-1
NY
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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