Healthcare Provider Details

I. General information

NPI: 1831966274
Provider Name (Legal Business Name): NYERI STEELE-SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2277 GRAND AVE
BALDWIN NY
11510-3148
US

IV. Provider business mailing address

2277 GRAND AVE
BALDWIN NY
11510-3148
US

V. Phone/Fax

Practice location:
  • Phone: 516-377-5398
  • Fax:
Mailing address:
  • Phone: 516-577-5398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129351
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: