Individual
CORINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 MIDA CT, WEST BABYLON, NY 11704
(631) 572-0498
Mailing address
15 MIDA CT, WEST BABYLON, NY 11704
(631) 572-0498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290824-1
NY
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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