Individual
CHELSEA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
32 FRAN LN, SELDEN, NY 11784-2600
(631) 469-3076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014372
NY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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