Individual
ANTWON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
363 HIGHLAND AVE EXT, MIDDLETOWN, NY 10940-4451
(845) 341-8236
Mailing address
363 HIGHLAND AVE EXT, MIDDLETOWN, NY 10940-4451
(845) 341-8236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7198391
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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