Organization
UNIQUE PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MURL SMITH (COSMOTOLOGIST)
(631) 264-1408
Entity
Organization
Contact information
Practice address
146 BROADWAY, AMITYVILLE, NY 11701-2704
(631) 264-1408
(631) 264-1408
Mailing address
146 BROADWAY, AMITYVILLE, NY 11701-2704
(631) 264-1408
(631) 264-1408
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
479242
NY
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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