Smith, Carol

Smith, Carol is an individual health care provider with primary practice located at 505 Main St , Northport NY 11768-1954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Carol can be contacted via phone (631) 261-7200.

Contact Information

Primary practice address
505 Main St Northport NY 11768-1954
Phone: (631) 261-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 400063 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X M204235 New York

Profile Details

NPI number 1790847721
LBN Legal business name Smith, Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Oct 2nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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