Individual
MS. LISA YVETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-4033
(516) 764-5522
Mailing address
13149 230TH ST, LAURELTON, NY 11413-1831
(718) 598-4137
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-P-6783
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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