Individual
AUDRA GRACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4349
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4349
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
946251
NY
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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