Individual
NICOLE MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
213 TRACY CREEK RD, VESTAL, NY 13850-1062
(607) 217-6513
(607) 786-9060
Mailing address
249 GLENWOOD RD, BINGHAMTON, NY 13905-1695
(607) 217-6513
(607) 786-9060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008834
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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