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

Nicole Susan Smith

Individual provider Early Intervention Provider Agency · NPI 1558133066

Nicole Susan Smith is an Early Intervention Provider Agency in Holbrook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

38 Buckingham Dr
Holbrook, NY 11741-2880
Phone: (631) 738-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (NY)

Record details

NPI number1558133066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 26, 2023
Mailing address45 Oakcrest Ave, Farmingville, NY 11738-2024

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