Individual
MS. CLARE CAROLINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
50 VANDERBILT PKWY, DIX HILLS, NY 11746-5816
(631) 300-0209
Mailing address
PO BOX 5302, HAUPPAUGE, NY 11788-0306
(631) 300-0209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003472-1
NY
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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