Individual
MR. DAVIOT IAN CLUNES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
272 MACDONOUGH ST, BROOKLYN, NY 11233-1007
(718) 573-4206
Mailing address
272 MACDONOUGH ST, BROOKLYN, NY 11233-1007
(718) 573-4206
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
466897
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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