Individual
MS. TONIANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
101 NORFOLK ST, NEW YORK, NY 10002-3301
(212) 566-8855
(212) 677-4853
Mailing address
623 CENTRAL AVE, MASSAPEQUA, NY 11758-4112
(516) 330-1463
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017287
NY
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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