Edward Smith's National Provider Identifier (NPI) Details
Edward Smith, LCSW
NPI: 1073910147
Enumeration Date: 2014-12-04
Last updated: 2014-12-04
Sole Proprietor: YES
Status: active
Postal Address: 115 N HURON ST, RONKONKOMA, NY
Phone: 631-626-7418
Primary Practice Address: 115 N HURON ST, RONKONKOMA, NY
Practice's phone: 631-626-7418