SMITHA MARY THOTAM

BAY SHORE, NY
NPI1629262639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F305772)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  506599)
Enumeration Date2007-09-03
Last Update Date2011-08-04
Business Address
-- SMITHA MARY THOTAM NP
280 E MAIN ST
BAY SHORE, NY 11706-8403
Phone number: 631-666-3939
Mailing Address
-- SMITHA MARY THOTAM NP
280 E MAIN ST P. O. BOX 9182
BAY SHORE, NY 11706-8403
Phone number: 631-666-3939