TENNYSON ANTONIO SMITH

STATEN ISLAND, NY
NPI1245028729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  353561)
Enumeration Date2025-04-25
Last Update Date2025-04-25
Business Address
Mr. TENNYSON ANTONIO SMITH
24 PARKVIEW LOOP
STATEN ISLAND, NY 10314-1661
Phone number: 917-293-0146
Mailing Address
Mr. TENNYSON ANTONIO SMITH
24 PARKVIEW LOOP
STATEN ISLAND, NY 10314-1661
Phone number: 917-293-0146
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