Individual
JATASIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5074
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5074
(914) 925-5160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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