Individual
STEFANIE ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
69 SUN VALLEY DR, LAKE GEORGE, NY 12845-3900
(518) 668-5714
(518) 668-5876
Mailing address
69 SUN VALLEY DR, LAKE GEORGE, NY 12845-3900
(518) 668-5714
(518) 668-5876
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
342052
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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