Derrell Smith
Derrell Smith is a Licensed Practical Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
130 E Bissell StSyracuse, NY 13207-1801
Phone: (315) 956-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 321023 (NY) |
|---|
Record details
| NPI number | 1700276243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 4, 2015 |
| Last updated in NPPES | February 4, 2015 |
| Mailing address | 130 East Bissell Street, Syracuse, NY 13205 |
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