Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1527 5TH ST, WEST BABYLON, NY 11704-4541
(516) 715-2910
Mailing address
1527 5TH ST, WEST BABYLON, NY 11704-4541
(516) 715-2910
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002413-01
NY
221700000X
Art Therapist
P09749
NY
Other
Enumeration date
06/13/2019
Last updated
11/21/2022
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