Individual
NISHKA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
681 STANTON AVE, NORTH BALDWIN, NY 11510-1825
(646) 334-8290
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383674
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2024
Last updated
12/16/2024
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