Individual
DEBORAH J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
34 MILLARD ST, DUNDEE, NY 14837-9777
(607) 243-8059
Mailing address
201 E MAIN ST, APT. 5, PENN YAN, NY 14527-1603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331859
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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