Individual
MR. ASHLEY SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.L.AC.
Contact information
Practice address
162 2ND ST, SUITE 3, BRENTWOOD, NY 11717-5405
(631) 435-1131
Mailing address
8 SECAUCUS LN, EAST ISLIP, NY 11730-2424
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001648
NY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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