Healthcare Provider Details

I. General information

NPI: 1669396487
Provider Name (Legal Business Name): ZARINA SMITH NP IN FAMILY HEALTH PEDIATRICS AND PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 OAK ST
SYRACUSE NY
13203-1652
US

IV. Provider business mailing address

322 HIGHLAND AVE
SYRACUSE NY
13203-1608
US

V. Phone/Fax

Practice location:
  • Phone: 315-657-1020
  • Fax: 315-254-2120
Mailing address:
  • Phone: 315-657-1020
  • Fax: 315-254-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZARINA SUSAN SMITH
Title or Position: OWNER
Credential:
Phone: 315-657-1020