Individual
DR. WHITTNEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1103 STEWART AVE, SUITE 100, GARDEN CITY, NY 11530-4859
(516) 745-1177
Mailing address
4 HASTINGS DRIVE, MERRICK, NY 11566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000067
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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