JOHANNA M SMITH

PORT JEFFERSON STATION, NY
NPI1326388695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  306296)
Enumeration Date2013-02-25
Last Update Date2013-02-25
Business Address
-- JOHANNA M SMITH NP
410 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1232
Phone number: 631-642-1100
Mailing Address
-- JOHANNA M SMITH NP
2800 MARCUS AVE
NEW HYDE PARK, NY 11042-1113
Phone number: 516-622-6040