Individual
SUSAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6000
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303861-1
NY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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