Individual
CARMITER CICILEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179-16 143 AVENUE, SPRINGFIELD GARDENS, NY 11434
(718) 810-6591
Mailing address
179-16 143 AVENUE, SPRINGFIELD GARDENS, NY 11434
(718) 810-6591
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/06/2012
Last updated
07/21/2022
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