Anna Gribovskaya Smith, NP
Nurse Practitioner, Adult Health in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1164068300
StatusActive
Last updated in NPPESNov 22, 2019
Details
- NPI
- 1164068300
- Entity type
- Individual (NPI-1)
- Name
- Anna Gribovskaya Smith
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2019
- Last updated
- Nov 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F309257-01 | NY | Yes |
Other names
- Anna Gribovskaya (Former Name)
Practice location
450 Lakeville RdNew Hyde Park, NY 11042-1118
Phone 516-734-8500
Mailing address
63 Grape LnHicksville, NY 11801-6154
Phone 718-427-6770
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