SearchNew York174400000X

Lyza Smith

NPI 1760034813 · on the registry since 2019 · sole proprietor

Practice

Address
109 Massachusetts Ave
Massapequa, NY 11758
Phone
(347) 866-5136

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-09

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