Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ty Smith Nurse Practitioner Adult

Organization Health Service Clinic/Center · NPI 1912788613

Ty Smith Nurse Practitioner Adult is a Health Service Clinic/Center in Valley Stream, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

76 S Central Ave Ste 1A
Valley Stream, NY 11580-5405
Phone: (516) 770-6102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1912788613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Smith — Owner · (516) 284-7521
NPI enumeratedOctober 9, 2023
Last updated in NPPESJanuary 27, 2024
Certification dateJanuary 27, 2024
Mailing address1595 N Central Ave Apt 39, Valley Stream, NY 11580-1186

Other providers in Valley Stream