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STACYANN S SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1305 YORK AVENUE 2ND FLOOR, NEW YORK, NY 10021
(646) 962-9800
(646) 962-0390
Mailing address
1305 YORK AVENUE 2ND FLOOR, NEW YORK, NY 10021

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F309571-01
NY

Other

Enumeration date
02/24/2020
Last updated
04/26/2021
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