Stephanie Lynn Smith
Specialist in Oswego, NY. Individual provider (NPI-1).
NPI number1982257630
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1982257630
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lynn Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2019
- Last updated
- Jul 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
159 W 1st StOswego, NY 13126-2045
Phone 315-342-9575
Mailing address
7714 Black Creek RdKirkville, NY 13082-9431
Phone 315-264-4252
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All 192 Specialist providers in Oswego · All 1,367 providers in Oswego
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