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Jacqueline Smith
NPI 1356120083 · on the registry since 2023 · sole proprietor
Practice
- Address
- 592 Shepherd Ave
Brooklyn, NY 11208 - Phone
- (718) 825-6212
- Fax
- (718) 978-0032
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
- 2023-09-22
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