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

Lyza Himilce Smith

Individual provider Specialist · NPI 1760034813

Lyza Himilce Smith is a Specialist in Massapequa, 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

109 Massachusetts Ave
Massapequa, NY 11758-4107
Phone: (347) 866-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2548278 (NY)

Record details

NPI number1760034813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019
Mailing address109 Massachusetts Ave, Massapequa, NY 11758-4107

Other providers in Massapequa