Individual
MR. AARON HALL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 30TH DR, ASTORIA, NY 11102-3845
(347) 446-5905
Mailing address
1231 30TH DR, ASTORIA, NY 11102-3845
(347) 446-5905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
688366121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
688366121
NYS TEACHERS CERTIFICATION
NY
Enumeration date
02/27/2013
Last updated
02/27/2013
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