Individual
CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
688902-1
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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