Individual
CAROLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 OCEAN AVE, BROOKLYN, NY 11226-1338
(718) 826-2803
Mailing address
350 OCEAN AVE, BROOKLYN, NY 11226-1338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
605770
NY
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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