Individual
KAYLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1342 SAINT LAWRENCE AVE APT 1D, BRONX, NY 10472-1968
(216) 200-2964
Mailing address
1342 SAINT LAWRENCE AVE APT 1D, BRONX, NY 10472-1968
(216) 200-2964
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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