Smith, Nikeda Marie

Smith, Nikeda Marie is an sole proprietor health care provider with primary practice located at 101 Nicolls Rd Hsc, Level 4, Room 050, Stony Brook NY 11794-8350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Nikeda Marie can be contacted via phone (631) 445-2478.

Contact Information

Primary practice address
101 Nicolls Rd Hsc, Level 4, Room 050 Stony Brook NY 11794-8350
Phone: (631) 445-2478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016219 New York

Profile Details

NPI number 1578808556
LBN Legal business name Smith, Nikeda Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2012
Last updated Mar 3rd, 2020 - about 6 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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