Individual
MS. DEBORAH A. SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
5141 BROADWAY, GERIATRIC DIVISION, NEW YORK, NY 10034-1159
(212) 932-4080
Mailing address
5141 BROADWAY, GERIATRIC DIVISION, NEW YORK, NY 10034-1159
(212) 932-4080
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340311-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F3403110A
NYS LICENSE
NY
Enumeration date
05/02/2007
Last updated
03/07/2023
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