Individual
CHUDIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4566 162ND ST, SUITE 1, FLUSHING, NY 11358-3158
(718) 539-8044
(718) 539-8045
Mailing address
4566 162ND ST, SUITE 1, FLUSHING, NY 11358-3158
(718) 539-8044
(718) 539-8045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9228L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609042175
—
NY
Enumeration date
03/29/2010
Last updated
04/12/2010
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