Individual
MS. BETHANY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 ROSS HILL RD, CONKLIN, NY 13748-1706
(607) 217-4847
Mailing address
213 ROSS HILL RD, CONKLIN, NY 13748-1706
(607) 217-4847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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