Individual
MRS. CHRISTINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6000
Mailing address
21 EMILIE DR, CENTER MORICHES, NY 11934-1012
(516) 455-7587
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
006336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06336
PHYSICAL THERAPIST ASSISTANT
NY
Enumeration date
05/11/2009
Last updated
08/29/2016
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