Healthcare Provider Details

I. General information

NPI: 1255531810
Provider Name (Legal Business Name): VERONICA ANN SMITH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LEE ROAD
CROTON FALLS NY
10519-0336
US

IV. Provider business mailing address

PO BOX 336
CROTON FALLS NY
10519-0336
US

V. Phone/Fax

Practice location:
  • Phone: 914-439-6128
  • Fax:
Mailing address:
  • Phone: 914-439-6128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number020127-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: