Individual
CHARMAINE DEMARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 WADSWORTH AVE, 5G, NEW YORK, NY 10040-4141
(121) 292-6375
Mailing address
320 WADSWORTH AVE, 5G, NEW YORK, NY 10040-4141
(121) 292-6375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
456877-1
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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