Individual
TRADE MAXWELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
110 CRITTENDEN BLVD, ROCHESTER, NY 14620
(585) 275-5830
Mailing address
14 FRANKLIN ST APT 207, ROCHESTER, NY 14604-1500
(347) 633-1190
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
780228
NY
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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