Individual
NIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 BRENTWOOD RD, BAY SHORE, NY 11706-5705
(631) 308-8252
Mailing address
1314 BRENTWOOD RD, BAY SHORE, NY 11706-5705
(631) 308-8252
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
330524-1
NY
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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