Mavis Smith's National Provider Identifier (NPI) Details
Mavis Smith,
NPI: 1316428485
Enumeration Date: 2018-08-27
Last updated: 2018-08-27
Sole Proprietor: YES
Status: active
Postal Address: 180 E 18TH ST APT 5B, BROOKLYN, NY
Phone: 347-848-3578
Primary Practice Address: 810 CLASSON AVE, BROOKLYN, NY
Practice's phone: 347-848-3578