Vanessa C Smith, LPN
Licensed Vocational Nurse in Huntington, NY. Individual provider (NPI-1).
NPI number1962052191
StatusActive
Last updated in NPPESSep 19, 2019
Details
- NPI
- 1962052191
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vanessa C Smith
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2019
- Last updated
- Sep 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 326989 | NY | Yes |
Other names
- Vanessa C Long (Former Name)
Practice location
55 Horizon DrHuntington, NY 11743-4436
Phone 631-427-3700
Mailing address
89 Claywood DrBrentwood, NY 11717-4813
Phone 917-743-2103
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