Individual
MRS. PAULA ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 ATLANTIC AVE, BROOKLYN, NY 11217-1812
(718) 422-2960
Mailing address
475 ATLANTIC AVE, BROOKLYN, NY 11217-1812
(718) 422-2960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304278-1
NY
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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