Individual
CHARMAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
711 E 95TH ST, APT-1, BROOKLYN, NY 11236-1430
(718) 671-2100
Mailing address
711 E 95TH ST, APT-1, BROOKLYN, NY 11236-1430
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305185
NY
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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