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Individual

MS. ELAINE SUSAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
465 N UNION ST, OLEAN, NY 14760-2658
(716) 373-7709
(716) 373-8117
Mailing address
1217 RIVER ST, OLEAN, NY 14760-1352
(716) 372-2628

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332982-1
NY

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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