Individual
MS. CHARMAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2597 BEDFORD AVE, BROOKLYN, NY 11226-7603
(718) 941-0404
(718) 941-0909
Mailing address
83 MARLBOROUGH RD, BROOKLYN, NY 11226-4301
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/27/2013
Last updated
04/27/2013
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