Individual
JESSICA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217
(716) 362-1552
(716) 362-1553
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 362-1552
(716) 362-1553
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002369-1
NY
Other
Enumeration date
10/19/2011
Last updated
07/16/2018
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