Individual
ABIGAIL ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 CREIGHTON ROAD, MALONE, NY 12953
(518) 483-0109
Mailing address
380 CREIGHTON ROAD, (COUNTY RTE. 51), MALONE, NY 12953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352116
NY
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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