Individual
MRS. CYNTHIA LOU SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRN
Contact information
Practice address
1439 RIDGE RD, PENN YAN, NY 14527-9765
(315) 536-6434
Mailing address
1439 RIDGE RD, PENN YAN, NY 14527-9765
(315) 536-6434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
286038-1
NY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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