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Individual

ANDREW SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1466 E 45TH ST, BROOKLYN, NY 11234-3004
(347) 295-6540
Mailing address
1466 E 45TH ST, BROOKLYN, NY 11234-3004
(347) 295-6540

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299453
NY

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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