Individual
MS. ANTOINETTE RITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
90 ADAMS AVE # 110, HAUPPAUGE, NY 11788-3631
(631) 952-3333
Mailing address
90 ADAMS AVE # 110, HAUPPAUGE, NY 11788-3631
(631) 952-3333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X-
—
NY
Enumeration date
09/26/2022
Last updated
09/26/2022
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