Jennifer Susan Smith MSED

NPI 1033472279 - Specialist - 174400000X

NPI Details
NPI 1033472279
Gender Female
Enumeration Date 06/22/2012
Last Updated 06/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
597 3RD AVE
TROY NY, 12182-2509, US
Phone (518) 233-0544
Fax
Business Location
1 STEVE ODELL RD
CROPSEYVILLE NY, 12052-2118, US
Phone (518) 487-8378
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 155996
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According to our database, Mrs. Jennifer Susan Smith MSED NPI is 1033472279, taxonomy code is 174400000X and license number is 155996, license state is located at New York. Jennifer Susan Smith MSED physically located at 597 3rd Ave, Troy NY, 12182-2509. NPI Number Jennifer Susan Smith MSED has the Individual type.

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1033472279 NPI number is provided on an as is basis without warranty of any kind. 1033472279 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Susan Smith MSED are for informational purposes only.