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Chanell Smith
NPI 1295389807 · on the registry since 2019 · sole proprietor
Practice
- Address
- 64 Sycamore Ave
Mount Vernon, NY 10553 - Phone
- (914) 664-6972
Additional practice sites
- 6 S 4th Ave, Mount Vernon, NY
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York