Individual
ELIZABETH O'SULLIVAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 PHELPS LANE, NORTH BABYLON, NY 11703
(631) 422-7676
(631) 422-7609
Mailing address
37 COUNTY LINE RD, AMITYVILLE, NY 11701
(631) 813-8588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3450
NY
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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