Individual
MS. PATRICIA MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7650 VANBUREN ROAD, BALDWINSVILLE, NY 13027-9782
(315) 638-6111
Mailing address
7650 VANBUREN RD., BALDWINSVILLE, NY 13027
(315) 638-6111
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
361311
NY
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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