Individual
CHELSEA RENAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 WRIGHT AVE, MATTYDALE, NY 13211-1247
(315) 399-0763
Mailing address
512 WRIGHT AVE, MATTYDALE, NY 13211-1247
(315) 399-0763
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
858146
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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