Individual
MRS. LORI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
8220 155TH AVE, HOWARD BEACH, NY 11414-1770
(718) 738-2452
Mailing address
8220 155TH AVE, HOWARD BEACH, NY 11414-1770
(718) 738-2452
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
10/14/2011
Last updated
07/21/2022
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