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NPI Code Detail

MEDICARE: AURALEE ALICIA SMITH

MEDICARE:   AURALEE ALICIA SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist410460NY

General Provider Information

NPI Number : 1629205505
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURALEE ALICIA SMITH
Provider Business Mailing Address
First Line : 1 BRITTON ST APT C3
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4854
Country : US
Telephone Number : 917-797-4752
Fax Number :
Provider Business Practice Location Address
First Line : 1 BRITTON ST APT C3
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4854
Country : US
Telephone Number : 917-797-4752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/13/2012

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Directions to “ AURALEE ALICIA SMITH ” Practice Location

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