CAROL SMITH NP
NPI 1790847721
Nurse Practitioner - Psychiatric/Mental Health in Northport, NY
Active since December 15, 2006
About Carol Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL SMITH NP (NPI 1790847721) is an individual psychiatric/mental health provider in Northport, New York, licensed in New York (400063) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1790847721
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROL SMITHCredential: NP
Location Address505 MAIN STNorthport, NY 11768-1954
Mailing Address505 Main StNorthport, NY 11768-1954 · (631) 261-7200 · Fax (631) 261-1985
Phone(631) 261-7200
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateOctober 2, 2014
✔ NPI 1790847721 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 400063
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License M204235 (NY)
505 MAIN ST, Northport, NY 11768
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Hospice Care, Community Based
505 MAIN ST
NORTHPORT, NY 11768
NORTHPORT, NY 11768
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790847721, enumerated as an "individual" on December 15, 2006.
The provider is located at 505 MAIN ST NORTHPORT, NY 11768 and the phone number is (631) 261-7200.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
