Doreen Smith, Nurse Practitioner
Nurse Practitioner, Family in Smithtown, NY. Individual provider (NPI-1).
NPI number1669909560
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1669909560
- Entity type
- Individual (NPI-1)
- Name
- Miss Doreen Smith
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2017
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 342007 | NY | Yes |
| 163W00000X | Registered Nurse | 661228 | NY |
Practice location
300 E Main St Ste 2Smithtown, NY 11787-2900
Phone 631-780-6126 · Fax 631-256-4844
Mailing address
10 Old Riverhead RoadWesthampton Beach, NY 11946
Phone 631-369-4292
Other practice locations
10 Old Riverhead Rd
Westhampton Beach, NY 11978-1460
Westhampton Beach, NY 11978-1460
Phone 631-443-4493
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