| Doctor Name: | JANICE SMITH |
| NPI Number: | 1275906240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 445814 |
| Business Practice Address: | 263 Ridgefield Rd Endicott, NY - 137604256 |
| Business Phone Number: | 6077572154 |
| Business Fax Number: | 6077572864 |
| Mailing Address: | 50 Coventry Rd, ENDICOTT |
| State: | NY |
| Postal Code: | 137604258 |
| Phone Number: | 6077572154 |
| Fax Number: | 6077572864 |
| NPI Enumeration Date: | 11/12/2015 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 445814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |