PETER SMITH

RIVERHEAD, NY
NPI1710360102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401875)
Enumeration Date2015-07-02
Last Update Date2016-04-06
Business Address
-- PETER SMITH NP
208 ROANOKE AVE
RIVERHEAD, NY 11901-2706
Phone number: 631-369-0104
Mailing Address
-- PETER SMITH NP
208 ROANOKE AVE
RIVERHEAD, NY 11901-2706
Phone number: 631-369-0104