Individual
SUSAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 GLENMONT RD, GLENMONT, NY 12077-3469
(518) 755-4396
Mailing address
911 CENTRAL AVE STE 224, ALBANY, NY 12206-1350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F352934
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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