MALISSA SMITH

AMITYVILLE, NY
NPI1033668942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  308821)
Enumeration Date2016-10-04
Last Update Date2016-10-04
Business Address
-- MALISSA SMITH
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523
Mailing Address
-- MALISSA SMITH
365 BROADWAY
AMITYVILLE, NY 11701-2716
Phone number: 631-608-8523