Individual
MRS. ELIZABETH R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
101 E HENRIETTA RD, ROCHESTER, NY 14620-4213
(585) 271-2897
(585) 442-3143
Mailing address
50 LIBERTY ST, BROCKPORT, NY 14420-1630
(585) 727-8522
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
329470-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DAVE3283
—
NY
Enumeration date
01/05/2012
Last updated
06/19/2014
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