Individual
CONSTANCIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
118-11 GUY BREWER BOULEVARD, JAMAICA, NY 11434
(718) 945-7150
(718) 945-2596
Mailing address
859 SPRAGUE STREET, NORTH BALDWIN, NY 11510-1429
(646) 732-5608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341225-1
NY
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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