Individual
MS. ANDRENE R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27 ECKERSON LANE, HILLCREST, NY 10977
(917) 862-5215
(718) 347-4643
Mailing address
35 TULIP AVENUE, PO BOX 20838, FLORAL PARK, NY 11002
(917) 862-5215
(718) 347-4643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238572
NY
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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