Individual
MISS DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11421 210TH ST, CAMBRIA HEIGHTS, NY 11411-1011
(718) 740-3047
Mailing address
11421 210TH ST, CAMBRIA HEIGHTS, NY 11411-1011
(718) 740-3047
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
451512
NY
363LF0000X
Family Nurse Practitioner
F336119-1
NY
Other
Enumeration date
06/24/2010
Last updated
09/28/2011
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