Individual
NICOLE ERICKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7454
Mailing address
1227 BAY 27TH ST, FAR ROCKAWAY, NY 11691-1715
(516) 787-7177
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011358
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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