Individual
PROF. MICHAEL A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND,HHA,PCW,PNP
Contact information
Practice address
420 E 105TH ST, 09A, NEW YORK, NY 10029-5104
(917) 794-6416
(917) 794-6416
Mailing address
PSC 2353, UNIT 1 BOX 1781, APO, AE 10163-1781
(917) 794-6416
(917) 794-6416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0704014
NY
372600000X
Adult Companion
Primary
85432
NY
372600000X
Adult Companion
PA023502Y
PA
Other
Enumeration date
09/16/2007
Last updated
01/07/2014
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