Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 PADEN ST, ENDICOTT, NY 13760-4531
(607) 757-2138
Mailing address
715 PADEN ST, ENDICOTT, NY 13760-4531
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5285471
NY
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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