Individual
CRISTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 RICHMOND AVE, 200, STATEN ISLAND, NY 10314-3937
(718) 447-0961
Mailing address
2025 RICHMOND AVE, 200, STATEN ISLAND, NY 10314-3937
(718) 447-0961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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