NPI 1801620166

Steven Smedman, CASACT

Practitioner Prevention Professional Bronx, NY

Practice location

Address: 770 E 176th St, Bronx, NY 10460-4617
Phone: (718) 583-5150

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 39685 (NY)

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Registry record

NPI: 1801620166
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2024
Record last updated: 8 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.