Gina Michelle Smith

NPI #1083976260 in Latham, New York

Provider Information

NPI Number: 1083976260
Entity Type: Individual
Name: Gina Michelle Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 13, 2012
Last Updated: Jun 13, 2012

Practice Location

Address: 623 NEW LOUDON RD
City: Latham
State: New York
ZIP Code: 12110-4031
Phone: (518) 782-1178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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