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NPI Code Detail

MEDICARE: OLIVIA MALEY SMITH

MEDICARE: OLIVIA MALEY 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
1104100000XSocial Worker130289NY

General Provider Information

NPI Number : 1336007319
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA MALEY SMITH
Provider Business Mailing Address
First Line : 234 MAIN ST
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-1320
Country : US
Telephone Number : 845-430-5591
Fax Number :
Provider Business Practice Location Address
First Line : 391 WESTERN AVE
Second Line :
City : ALBANY
State : NY
Zip : 12203-1491
Country : US
Telephone Number : 518-242-4731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ OLIVIA MALEY SMITH ” Practice Location

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