Malissa Smith
NPI #1033668942 in Amityville, New York
Provider Information
- NPI Number
- 1033668942
- Entity Type
- Individual
- Name
- Malissa Smith
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 4, 2016
- Last Updated
- Oct 4, 2016
Practice Location
- Address
- 365 BROADWAY
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-2716
- Phone
- (631) 608-8523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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