Individual
HOLLY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2445
(716) 816-2537
Mailing address
163 HOLLY ST, BUFFALO, NY 14206-3517
(716) 512-0241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
403592
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403592
NY
Other
Enumeration date
08/25/2021
Last updated
07/27/2022
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