Individual
AEISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 BEACH 37TH ST, FAR ROCKAWAY, NY 11691-1509
(516) 589-6814
Mailing address
414 BEACH 37TH ST, FAR ROCKAWAY, NY 11691-1509
(516) 589-6814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007016-1
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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