Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 562-0100
Mailing address
13515 JEWEL AVE # B, FLUSHING, NY 11367-1919
(347) 255-0082
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
604972
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431378
NY
Other
Enumeration date
07/06/2018
Last updated
08/15/2018
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