Individual
DANIELLE NAKIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2007 EVERETT ST, VALLEY STREAM, NY 11580-2345
(917) 335-7291
Mailing address
2007 EVERETT ST, VALLEY STREAM, NY 11580-2345
(917) 335-7291
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421402
NY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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