Individual
MAM LENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 583-7736
(347) 479-1303
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2326874
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2326874
MA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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