Individual
STEPHANIE JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6604
Mailing address
234 CONNECTICUT RD, UNION, NJ 07083-7935
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
023364
NY
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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