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

Corey Smith

Individual provider Massage Therapist · NPI 1962055954

Corey Smith is a Massage Therapist in Mattydale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

2605 Brewerton Rd
Mattydale, NY 13211-1147
Phone: (315) 455-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 031617 (NY)

Record details

NPI number1962055954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2019
Last updated in NPPESJuly 19, 2019

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