Individual
SHARON ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
430 IRVING AVE, SYRACUSE, NY 13210-2343
(315) 426-7640
Mailing address
11 CHERRY ST APT A, PHOENIX, NY 13135-2417
(912) 430-0896
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
345316
NY
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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