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Organization

MSR TELEHEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACYANN SMITH NP (OWNER)
(646) 637-5942
Entity
Organization

Contact information

Practice address
150 UNION AVE, LYNBROOK, NY 11563-3345
(646) 637-5942
Mailing address
150 UNION AVE, LYNBROOK, NY 11563-3345
(646) 637-5942
(646) 637-5942

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
04/26/2025
Last updated
04/26/2025
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